Table of content for ">=2 same hi-rsk med w/o diag" (HCPCS M1209)
General information on the “M1209” code
HCPCS Code: M1209
Long Description: At least two orders for high-risk medications from the same drug class, (table 4), without appropriate diagnoses
Short Description: >=2 same hi-rsk med w/o diag
Original information is taken from M1209 page
Pricing indicators
Pricing Indicator Code 1: 00 – Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)
Multiple Pricing Indicator Code 9 : Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99')
Certification and additional reference information
Coverage
Coverage: C – Carrier judgment
Type of service
Berenson-Eggers Type of Service (BETOS): Z2 – Undefined codes
Type Of Service 1: 1 – Medical care
Misc information
Anesthesia Base Unit Quantity: 0
Code Added Date: 20230101
Code Effective Date: 20230101
Action Code: N – No maintenance for this code