HCPCS Code M1209
At least two orders for high-risk medications from the same drug class, (table 4), without appropriate diagnoses
| Short Description | >=2 same hi-rsk med w/o diag |
|---|---|
| Year | 2026 |
| Coverage Code | C = Carrier judgment |
| Action Code | N = No maintenance for this code |
| Action Effective Date | January 01, 2023 |
| Code Added Date | January 01, 2023 |
| Pricing Indicator | 00 = Service not separately priced by Part B (e.g., services not covered, bundled, used by part a only, etc.) |
| Type of Service | 1 = Medical care |