HCPCSwise

HCPCS codes / M / M1056

M1056

Prescribed anticoagulant medication during the performance period, history of gi bleeding, history of intracranial bleeding, bleeding disorder and specific provider documented reasons: allergy to aspirin or anti-platelets, use of non-steroidal anti-inflammatory agents, drug-drug interaction, uncontrolled hypertension > 180/110 mmhg or gastroesophageal reflux disease

Code type
HCPCS Level II
Coverage
Carrier judgment
BETOS category
Z2
Pricing indicator
00
Effective date
20190101
Verify before billing. Confirm against current official CMS HCPCS files and your payer's rules before clinical or claims use.