HCPCS Codes Similar to M1491

HCPCS Codes Similar to “M1491” Code.
Receiving esrd mcp dialysis services by the provider during the performance period

G1025 Patient-months where there are more than one medicare capitated payment (mcp) provider listed for the month Code added date: 20220101 Code effective date: 20220101 TXT \| PDF \| XML \| JSON	M1269 Receiving esrd mcp dialysis services by the provider on the last day of the reporting month Code added date: 20240101 Code effective date: 20240101 TXT \| PDF \| XML \| JSON
CD Amcc test has been ordered by an esrd facility or mcp physician that is part of the composite rate and is not separately billable Code added date: 20040101 Code effective date: 20040101 TXT \| PDF \| XML \| JSON	CE Amcc test has been ordered by an esrd facility or mcp physician that is a composite rate test but is beyond the normal frequency covered under the rate and is separately reimbursable based on medical necessity Code added date: 20040101 Code effective date: 20040101 TXT \| PDF \| XML \| JSON
CF Amcc test has been ordered by an esrd facility or mcp physician that is not part of the composite rate and is separately billable Code added date: 20040101 Code effective date: 20040101 TXT \| PDF \| XML \| JSON	L5986 All lower extremity prostheses, multi-axial rotation unit ('mcp' or equal) Code added date: 19890101 Code effective date: 19960101 TXT \| PDF \| XML \| JSON
L6035 Single prosthetic digit, mechanical, can include metacarpophalangeal (mcp), proximal interphalangeal (pip), and/or distal interphalangeal (dip) joint(s), with or without locking mechanism, can include flexion or extension assist, any material, attachment, initial issue or replacement Code added date: 20251001 Code effective date: 20251001 TXT \| PDF \| XML \| JSON	L6036 Prosthetic thumb, mechanical, can include metacarpophalangeal (mcp), interphalangeal (ip) joint(s), with or without locking mechanism, can include flexion or extension assist, any material, attachment, initial issue or replacement Code added date: 20251001 Code effective date: 20251001 TXT \| PDF \| XML \| JSON
L8631 Metacarpal phalangeal joint replacement, two or more pieces, metal (e.g., stainless steel or cobalt chrome), ceramic-like material (e.g., pyrocarbon), for surgical implantation (all sizes, includes entire system) Code added date: 20040101 Code effective date: 20040101 TXT \| PDF \| XML \| JSON	M1056 Prescribed anticoagulant medication during the performance period, history of gi bleeding, history of intracranial bleeding, bleeding disorder and specific provider documented reasons: allergy to aspirin or anti-platelets, use of non-steroidal anti-inflammatory agents, drug-drug interaction, uncontrolled hypertension > 180/110 mmhg or gastroesophageal reflux disease Code added date: 20190101 Code effective date: 20190101 TXT \| PDF \| XML \| JSON
M1059 Patient was in hospice or receiving palliative care at any time during the performance period Code added date: 20190101 Code effective date: 20190101 TXT \| PDF \| XML \| JSON	M1459 Patient was in hospice or receiving palliative care services at any time during the performance period Code added date: 20260101 Code effective date: 20260101 TXT \| PDF \| XML \| JSON
G0035 Patient has any emergency department encounter during the performance period with place of service indicator 23 Code added date: 20220101 Code effective date: 20220101 TXT \| PDF \| XML \| JSON	G2204 Patients between 45 and 85 years of age who received a screening colonoscopy during the performance period Code added date: 20210101 Code effective date: 20230101 TXT \| PDF \| XML \| JSON