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HCPCS Codes Similar to MA

HCPCS Codes Similar to “MA” Code.
Ordering professional is not required to consult a clinical decision support mechanism due to service being rendered to a patient with a suspected or confirmed emergency medical condition

G0545
Visit complexity inherent to hospital inpatient or observation care associated with a confirmed or suspected infectious disease by an infectious diseases specialist, including disease transmission risk assessment and mitigation, public health investigation, analysis, and testing, and complex antimicrobial therapy counseling and treatment (add-on code, list separately in addition to hospital inpatient or observation evaluation and management visit, initial, same day discharge, subsequent or discharge)
Code added date: 20250101
Code effective date: 20250101
MB
Ordering professional is not required to consult a clinical decision support mechanism due to the significant hardship exception of insufficient internet access
Code added date: 20200101
Code effective date: 20250101
MC
Ordering professional is not required to consult a clinical decision support mechanism due to the significant hardship exception of electronic health record or clinical decision support mechanism vendor issues
Code added date: 20200101
Code effective date: 20250101
MD
Ordering professional is not required to consult a clinical decision support mechanism due to the significant hardship exception of extreme and uncontrollable circumstances
Code added date: 20200101
Code effective date: 20250101
MH
Unknown if ordering professional consulted a clinical decision support mechanism for this service, related information was not provided to the furnishing professional or provider
Code added date: 20200101
Code effective date: 20250101
PI
Positron emission tomography (pet) or pet/computed tomography (ct) to inform the initial treatment strategy of tumors that are biopsy proven or strongly suspected of being cancerous based on other diagnostic testing
Code added date: 20090701
Code effective date: 20090701
G2186
Patient /caregiver dyad has been referred to appropriate resources and connection to those resources is confirmed
Code added date: 20210101
Code effective date: 20210101
G0508
Telehealth consultation, critical care, initial , physicians typically spend 60 minutes communicating with the patient and providers via telehealth
Code added date: 20170101
Code effective date: 20170101
G0509
Telehealth consultation, critical care, subsequent, physicians typically spend 50 minutes communicating with the patient and providers via telehealth
Code added date: 20170101
Code effective date: 20170101
M1213
No history of spirometry results with confirmed airflow obstruction (fev1/fvc < 70%) and present spirometry is >= 70%
Code added date: 20240101
Code effective date: 20240101
M1214
Spirometry results with confirmed airflow obstruction (fev1/fvc < 70%) documented and reviewed
Code added date: 20240101
Code effective date: 20240101
M1216
No spirometry results with confirmed airflow obstruction (fev1/fvc < 70%) documented and/or no spirometry performed with results documented during the encounter
Code added date: 20240101
Code effective date: 20240101
S3862
Genetic testing, family-specific ion channel analysis, for blood-relatives of individuals (index case) who have previously tested positive for a genetic variant of a cardiac ion channel syndrome using either one of the above test configurations or confirmed results from another laboratory
Code added date: 20081001
Code effective date: 20120401
G8842
Apnea hypopnea index (ahi), respiratory disturbance index (rdi) or respiratory event index (rei) documented or measured within 2 months after initial evaluation for suspected obstructive sleep apnea
Code added date: 20120101
Code effective date: 20250101