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
Billable / valid for submission HCPCS Release 2026Q3
Short description: Presc antico med in pp
Version history
| Release | Valid from | Valid to | Description | Billable |
|---|---|---|---|---|
| 2026Q3 | 2026-07-01 | current | 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 | 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
- 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
- M1020 Adolescent patients 12 to 17 years of age with major depression or dysthymia who did not reach remission at twelve months as demonstrated by a twelve month (+/-60 days) phq-9 or phq-9m score of less than 5. either phq-9 or phq-9m score was not assessed or is greater than or equal to 5
- 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