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HCPCS codes / M / M1201

M1201

Documentation of medical reason(s) for not prescribing ace inhibitor (ace-i) or arb therapy during the measurement period (e.g., pregnancy, history of angioedema to ace-i, other allergy to ace-i and arb, hyperkalemia or history of hyperkalemia while on ace-i or arb therapy, acute kidney injury due to ace-i or arb therapy), other medical reasons)

Code type
HCPCS Level II
Coverage
Carrier judgment
BETOS category
Z2
Pricing indicator
00
Effective date
20230101
Verify before billing. Confirm against current official CMS HCPCS files and your payer's rules before clinical or claims use.