HCPCS codes / M / M1128
M1128
Ongoing care not clinically indicated because the patient needed a home program only, referral to another provider or facility, or consultation only, as documented in the medical record
- Code type
- HCPCS Level II
- Coverage
- Carrier judgment
- BETOS category
- Z2
- Pricing indicator
- 00
- Effective date
- 20210101
Verify before billing. Confirm against current official CMS HCPCS files and your payer's rules before clinical or claims use.