M1325 HCPCS - PATIENTS WHO WERE NOT SEEN FOR REASONS DOCUMENTED BY CLINICIAN FOR PATIENT OR MEDICAL REASONS (E.G., INADEQUATE TIME FOR FOLLOW-UP, PATIENTS WHO RECEIVED A PRIOR INTRAVITREAL OR PERIOCULAR STEROID INJECTION WITHIN THE LAST SIX (6) MONTHS AND HAD A SUBSEQUENT IOP EVALUATION WITH IOP <25MM HG WITHIN SEVEN (7) WEEKS OF TREATMENT)

Code Information

HCPCS Code: M1325
Sequence Number: 0010
Short Description: Doc med rsn not seen
Long Description: Patients who were not seen for reasons documented by clinician for patient or medical reasons (e.g., inadequate time for follow-up, patients who received a prior intravitreal or periocular steroid injection within the last six (6) months and had a subsequent iop evaluation with iop <25mm hg within seven (7) weeks of treatment)
Date Added: 1/1/2024
Action Code: N - No maintenance for this code
Action Effective Date: 1/1/2024
Classification: Medical Services
Coding System: HCPCS

Berenson-Eggers Type Of Service Code: Z2 - Undefined codes
Type Of Service Code:
- 1 - Whole blood only eff 01/96, whole blood or packed red cells before 01/96

Pricing Indicator Code:
- 00 - Service not separately priced by part B (e.G., services not covered, bundled, used by part a only, etc.)
Multiple Pricing Indicator Code: 9 - Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99')
Coverage Issues Manual Reference Section Number:
N/A
Medicare Carriers Manual Reference Section Number:
N/A
Coverage Code: C - Carrier judgment

Field Name	Field Value
Healthcare Common Procedure Coding System Code	M1325
HCPCS Sequence Number	0010
HCPCS Record Identification Code	3 - First line of procedure record also contains detail information in positions 92-275
HCPCS Long Description	Patients who were not seen for reasons documented by clinician for patient or medical reasons (e.g., inadequate time for follow-up, patients who received a prior intravitreal or periocular steroid injection within the last six (6) months and had a subsequent iop evaluation with iop <25mm hg within seven (7) weeks of treatment)
HCPCS Short Description	Doc med rsn not seen
HCPCS Pricing Indicator Code 1	00 - Service not separately priced by part B (e.G., services not covered, bundled, used by part a only, etc.)
HCPCS Multiple Pricing Indicator Code	9 - Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99')
HCPCS Coverage Code	C - Carrier judgment
HCPCS Berenson-Eggers Type Of Service Code	Z2 - Undefined codes
HCPCS Type Of Service Code 1	1 - Whole blood only eff 01/96, whole blood or packed red cells before 01/96
HCPCS Anesthesia Base Unit Quantity	0
HCPCS Code Added Date	1/1/2024
HCPCS Action Effective Date	1/1/2024
HCPCS Action Code	N - No maintenance for this code