HCPCS codes / M / M1255
M1255
Patients who have another reason for visiting the clinic [not prenatal or postpartum care] and have a positive pregnancy test but have not established the clinic as an ob provider (e.g., plan to terminate the pregnancy or seek prenatal services elsewhere)
- Code type
- HCPCS Level II
- Coverage
- Carrier judgment
- BETOS category
- Z2
- Pricing indicator
- 00
- Effective date
- 20240101
Verify before billing. Confirm against current official CMS HCPCS files and your payer's rules before clinical or claims use.