Table of content for "Init chemo w/def dur ec grp" (HCPCS M1395)
General information on the “M1395” code
HCPCS Code: M1395
Long Description: Patients receiving an initial chemotherapy regimen with a defined duration with the eligible clinician or group
Short Description: Init chemo w/def dur ec grp
Original information is taken from M1395 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: 20250101
Code Effective Date: 20250101
Action Code: A – Add procedure or modifier code