HCPCS codes / M / M1380
M1380
Filled at least two prescriptions during the performance period for any combination of the qualifying oral antipsychotic medications listed under "denominator note" or the long-acting injectable antipsychotic medications listed under "denominator note"
- 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.