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HCPCS Codes Similar to M1380

HCPCS Codes Similar to “M1380” Code.
Filled at least two prescriptions during the performance period for any combination of the qualifying oral antipsychotic medications listed under "denominator note" or the long-acting injectable antipsychotic medications listed under "denominator note"

G0559
Post-operative follow-up visit complexity inherent to evaluation and management services addressing surgical procedure(s), provided by a physician or qualified health care professional who is not the practitioner who performed the procedure (or in the same group practice) and is of the same or of a different specialty than the practitioner who performed the procedure, within the 90-day global period of the procedure(s), once per 90-day global period, when there has not been a formal transfer of care and requires the following required elements, when possible and applicable: reading available surgical note to understand the relative success of the procedure, the anatomy that was affected, and potential complications that could have arisen due to the unique circumstances of the patient's operation. research the procedure to determine expected post-operative course and potential complications (in the case of doing a post-op for a procedure outside the specialty). evaluate and physically examine the patient to determine whether the post-operative course is progressing appropriately. communicate with the practitioner who performed the procedure if any questions or concerns arise. (list separately in addition to office/outpatient evaluation and management visit, new or established)
Code added date: 20250101
Code effective date: 20250101
G0032
Two or more antipsychotic prescriptions ordered for patients who had a diagnosis of schizophrenia, schizoaffective disorder, or bipolar disorder on or between january 1 of the year prior to the measurement period and the index prescription start date (ipsd) for antipsychotics
Code added date: 20220101
Code effective date: 20220101
G9369
Individual filled at least two prescriptions for any antipsychotic medication and had a pdc of 0.8 or greater
Code added date: 20150101
Code effective date: 20160101
G9370
Individual who did not fill at least two prescriptions for any antipsychotic medication or did not have a pdc of 0.8 or greater
Code added date: 20150101
Code effective date: 20160101
G0033
Two or more benzodiazepine prescriptions ordered for patients who had a diagnosis of seizure disorders, rapid eye movement sleep behavior disorder, benzodiazepine withdrawal, ethanol withdrawal, or severe generalized anxiety disorder on or between january 1 of the year prior to the measurement period and the ipsd for benzodiazepines
Code added date: 20220101
Code effective date: 20220101
M0064
Brief office visit for the sole purpose of monitoring or changing drug prescriptions used in the treatment of mental psychoneurotic and personality disorders
Code added date: 19920101
Code effective date: 20150101
C9454
Injection, pasireotide long acting, 1 mg
Code added date: 20150701
Code effective date: 20160101
G9695
Long-acting inhaled bronchodilator prescribed
Code added date: 20170101
Code effective date: 20170101
G9696
Documentation of medical reason(s) for not prescribing a long-acting inhaled bronchodilator (e.g., patient intolerance or history of side effects)
Code added date: 20170101
Code effective date: 20240101
G9697
Documentation of patient reason(s) for not prescribing a long-acting inhaled bronchodilator
Code added date: 20170101
Code effective date: 20240101
G9698
Documentation of system reason(s) for not prescribing a long-acting inhaled bronchodilator (e.g., cost of treatment or lack of insurance)
Code added date: 20170101
Code effective date: 20240101
G9699
Long-acting inhaled bronchodilator not prescribed, reason not otherwise specified
Code added date: 20170101
Code effective date: 20170101
J2358
Injection, olanzapine, long-acting, 1 mg
Code added date: 20110101
Code effective date: 20240101
J2502
Injection, pasireotide long acting, 1 mg
Code added date: 20160101
Code effective date: 20160101