2025 HCPCS Code M1376
An additional encounter with an ra diagnosis during the performance period or prior performance period that is at least 90 days before or after an encounter with an ra diagnosis during the performance period
TAGS: period least additional performance prior during encounter diagnosis before
| Short Description | Ra dx enc 90 days dur per pd |
| HCPCS Coverage Code | C - Carrier judgment |
| HCPCS Action Code | N - No maintenance for this code |
| HCPCS Action Effective Date | January 01, 2025 |
| HCPCS Code Added Date | January 01, 2025 |
| HCPCS Pricing Indicator Code | 00 - Service not separately priced by part B (e.G., services not covered, bundled, used by part a only, etc.) |
| HCPCS 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') |
| HCPCS Coverage Issues Manual Reference Section Number | |
| HCPCS Type Of Service Code | 1 - Medical care |
| HCPCS Anesthesia Base Unit Quantity | 0 |
Check Similar HCPCS Codes
- M1369 - Qualcare mental hlth/sud mvp
- M1370 - Rehab support msk care mvp
- M1371 - Mst rec gsa<7
- M1372 - Mst rec gsa >=7 and<8
- M1373 - Mst rec gsa >=8 and <=9
- M1374 - Ra dx enc 90 days dur per pd
- M1375 - Ra dx enc 90 days dur per pd
- M1376 - Ra dx enc 90 days dur per pd
- M1377 - Fu colscop 10 yr doc w/ disc
- M1378 - Med rsn no 10 yr fu colscope
- M1379 - 10 yr fu no rec rsn not giv
- M1380 - 2 rx in perf pd any com meds
- M1381 - Pt sec strk wthin 5 days
- M1382 - Enc dur perf pd pos 11
- M1383 - Acute pvd
- M1384 - Pt died dur perf pd
- M1385 - Pt rsn not seen 2nd pam
- M1386 - Exc sx melmn or mlnm is
- M1387 - Pt died dur perf pd
- M1388 - Pt doc exm rec melmn
