M1011 – Discharge/discontinuation of the episode of care documented in the medical record

Long description

Discharge/discontinuation of the episode of care documented in the medical record

Short description

Dc eoc doc med rec

Pricing indicator

00 Not separately priced by Part B (bundled, not covered or Part A only)

Medicare coverage

C Carrier judgment – coverage decided by the Medicare contractor

BETOS category

Z2 Undefined codes

Added

January 1, 2019

Last change

January 1, 2020 – No change

Nearby M codes

• M1003 – Tb screening performed and results interpreted within twelve months prior to initiation of first-time biologic and/or immune response modifier therapy
• M1004 – Documentation of medical reason for not screening for tb or interpreting results (i.e., patient positive for tb and documentation of past treatment; patient who has recently completed a course of anti-tb therapy)
• M1005 – Tb screening not performed or results not interpreted, reason not given
• M1006 – Disease activity not assessed, reason not given
• M1007 – >=50% of total number of a patient's outpatient ra encounters assessed
• M1008 – <50% of total number of a patient's outpatient ra encounters assessed
• M1009 – Discharge/discontinuation of the episode of care documented in the medical record
• M1010 – Discharge/discontinuation of the episode of care documented in the medical record
• M1012 – Discharge/discontinuation of the episode of care documented in the medical record
• M1013 – Discharge/discontinuation of the episode of care documented in the medical record
• M1014 – Discharge/discontinuation of the episode of care documented in the medical record
• M1015 – Discharge/discontinuation of the episode of care documented in the medical record
• M1016 – Female patients unable to bear children
• M1017 – Patient admitted to palliative care services
• M1018 – Patients with an active diagnosis or history of cancer (except basal cell and squamous cell skin carcinoma), patients who are heavy tobacco smokers, lung cancer screening patients
• M1019 – Adolescent patients 12 to 17 years of age with major depression or dysthymia who reached remission at twelve months as demonstrated by a twelve month (+/-60 days) phq-9 or phq-9m score of less than 5