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HCPCS Level II/M-Codes/M1210

M1210 HCPCS Level II Code: At least two orders for high-risk medications from the same drug class, (table 4), not ordered

M1210 is the authoritative medical code for At least two orders for high-risk medications from the same drug class, (table 4), not ordered. This classification is used in medical billing and clinical recording to specify the clinical criteria for at least two orders for high-risk medications from the same drug class, (table 4), not ordered (HCPCS Level II M1210), ensuring healthcare documentation aligns with current federal coding standards.

Billing Status: Processed within HCPCS Level II standards. CMS regulatory guidelines apply.

Medicare Coverage & Payment

  • Medicare coverage: Carrier judgment (CMS coverage code C)
  • Payment category: Service not separately priced (pricing indicator 00)
  • BETOS: Z2
  • Effective: January 1, 2023

Source: CMS HCPCS Level II release. Coverage codes indicate how Medicare treats the code, not whether a specific claim will be paid; payer policy and documentation still govern.

Official Registry Overview & Definition

At least two orders for high-risk medications from the same drug class, (table 4), not ordered is a HCPCS Level II code (M1210) for a Medicare-covered supply, service, or procedure. Short description: >=2 same meds tbl4 not ord.

Nearest Codes in This Family

Official HCPCS Level II classifications closest to M1210 in its code family, with their registry titles.

  • M1205 — Itch severity assessment score is reduced by 3 or more points from the initial (index) assessment score to the follow-up visit score
  • M1206 — Itch severity assessment score was not reduced by at least 3 points from initial (index) score to the follow-up visit score or assessment was not completed during the follow-up encounter
  • M1207 — Patient is screened for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety
  • M1208 — Patient is not screened for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety
  • M1209 — At least two orders for high-risk medications from the same drug class, (table 4), without appropriate diagnoses
  • M1211 — Most recent glycemic status assessment (hba1c or gmi) level > 9.0%
  • M1212 — Glycemic status assessment (hba1c or gmi) level is missing, or was not performed during the measurement period
  • M1213 — No history of spirometry results with confirmed airflow obstruction (fev1/fvc < 70%) and present spirometry is >= 70%
  • M1214 — Spirometry results with confirmed airflow obstruction (fev1/fvc < 70%) documented and reviewed
  • M1215 — Documentation of medical reason(s) for not documenting and reviewing spirometry results (e.g., patients with dementia or tracheostomy)