HCPCS codes / M / M1209
M1209
At least two orders for high-risk medications from the same drug class, (table 4), without appropriate diagnoses
- 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.