M1035 Adults who are deliberately phased out of medication assisted treatment (mat) prior to 180 days of continuous treatment
Billable / valid for submission HCPCS Release 2026Q3
Short description: Adt pd out mat pr 180 dys tx
Version history
| Release | Valid from | Valid to | Description | Billable |
|---|---|---|---|---|
| 2026Q3 | 2026-07-01 | current | Adults who are deliberately phased out of medication assisted treatment (mat) prior to 180 days of continuous treatment | yes |
Related codes in M10
- 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
- M1011 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
- M1016 Female patients unable to bear children
- 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
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- M1021 Patient had only urgent care visits during the performance period
- M1027 Imaging of the head (ct or mri) was obtained
- M1028 Documentation of patients with primary headache diagnosis and imaging other than ct or mri obtained
- M1029 Imaging of the head (ct or mri) was not obtained, reason not given