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HCPCS codes / M / M1378

M1378

Documentation of medical reason(s) for not recommending a 10 year follow-up interval (e.g., inadequate prep, familial or personal history of colonic polyps, patient had no adenoma and age is >= 66 years old, or life expectancy < 10 years, other medical reasons)

Code type
HCPCS Level II
Coverage
Carrier judgment
BETOS category
Z2
Pricing indicator
00
Effective date
20250101
Verify before billing. Confirm against current official CMS HCPCS files and your payer's rules before clinical or claims use.