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Discontinuation of treatment for elbow, wrist, or hand impairments in patients 14 years and older.
2025 HCPCS code M1038
Patients with a diagnosis of lumbar spine region fracture at the time of the procedure.
2025 HCPCS code M1043
Performance Measure Not Met: Oswestry Disability Index (ODI) not measured at 9-15 months post-operatively.
2025 HCPCS code M1045
Functional status, measured by the Oxford Knee Score (OKS) at one year (9-15 months) postoperatively, was ≥ 37 or Knee Injury and Osteoarthritis Outcome Score Joint Replacement (KOOS, JR.) was ≥ 71.
2025 HCPCS code M1027
Performance Measure Reporting Modifier for Head CT/MRI for Primary Headache Evaluation.
2025 HCPCS code M1054
This HCPCS code reports patient urgent care visits during a performance period for quality measure reporting; it's not for reimbursement.
2025 HCPCS code M1007
This HCPCS code reports assessment and classification of disease activity in ≥50% of outpatient encounters for rheumatoid arthritis (RA) patients aged 18+ within a 12-month period.It's for quality measurement, not reimbursement.
2025 HCPCS code M1006
This HCPCS code reports that disease activity for rheumatoid arthritis (RA) in patients aged 18+ was not assessed within 12 months, and no reason was given.
2025 HCPCS code M1046
Documents functional status measurement 9-15 months post-op, with Oxford Knee Score (OKS) < 37 or Knee Injury and Osteoarthritis Outcome Score for Joint Replacement (KOOS, JR.) < 71.
2025 HCPCS code M1021
This HCPCS Level II code reports pediatric and adult asthma patients with only urgent care visits during a performance period, excluding them from quality measure #398 (Optimal Asthma Control).
2025 HCPCS code M1060
This HCPCS code reports patient deaths before a performance period's end for quality measurement, not reimbursement.
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