M1058 – Patient was a permanent nursing home resident at any time during the performance period

Long description

Patient was a permanent nursing home resident at any time during the performance period

Short description

Pt prm nurs hm res in pp

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, 2019 – No change

Nearby M codes

• M1050 – Functional status was measured by the oswestry disability index (odi version 2.1a) patient reported outcome tool within three months preoperatively and at three months (6 to 20 weeks) postoperatively
• M1051 – Patient had cancer, acute fracture or infection related to the lumbar spine or patient had neuromuscular, idiopathic or congenital lumbar scoliosis
• M1052 – Leg pain was not measured by the visual analog scale (vas) or numeric pain scale at one year (9 to 15 months) postoperatively
• M1053 – Leg pain was measured by the visual analog scale (vas) within three months preoperatively and at one year (9 to 15 months) postoperatively
• M1054 – Patient had only urgent care visits during the performance period
• M1055 – Aspirin or another antiplatelet therapy used
• M1056 – Prescribed anticoagulant medication during the performance period, history of gi bleeding, history of intracranial bleeding, bleeding disorder and specific provider documented reasons: allergy to aspirin or anti-platelets, use of non-steroidal anti-inflammatory agents, drug-drug interaction, uncontrolled hypertension > 180/110 mmhg or gastroesophageal reflux disease
• M1057 – Aspirin or another antiplatelet therapy not used, reason not given
• M1059 – Patient was in hospice or receiving palliative care at any time during the performance period
• M1060 – Patient died prior to the end of the performance period
• M1061 – Patient pregnancy
• M1062 – Patient immunocompromised
• M1063 – Patients receiving high doses of immunosuppressive therapy
• M1064 – Shingrix vaccine documented as administered or previously received
• M1065 – Shingrix vaccine was not administered for reasons documented by clinician (e.g. patient administered vaccine other than shingrix, patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons)
• M1066 – Shingrix vaccine not documented as administered, reason not given