Adults who have not had at least 180 days of continuous pharmacotherapy with a medication prescribed for oud without a gap of more than seven days

M1036
HCPCS Code

2023 HCPCS
Billable/Valid Code

M1036 is a valid 2023 HCPCS Code that could be used to indicate Adults who have not had at least 180 days of continuous pharmacotherapy with a medication prescribed for oud without a gap of more than seven days for reimbursement purposes.

M1036 belongs to Medical Care Type of Service and has been in effect since Jan 01, 2019.

Short description for M1036 HCPCS code:

Adt no 180 dys pharmthry oud

HCPCS M1036

M1036 code information

HCPCS code:	M1036
Description:	ADULTS WHO HAVE NOT HAD AT LEAST 180 DAYS OF CONTINUOUS PHARMACOTHERAPY WITH A MEDICATION PRESCRIBED FOR OUD WITHOUT A GAP OF MORE THAN SEVEN DAYS
Effective Date:	Jan 01, 2019
Added Date:	Jan 01, 2019
Termination Date:	HCPCS M1036 was terminated on Nov 30, -0001
Pricing indicator:	`00` - SERVICE NOT SEPARATELY PRICED BY PART B (E.G., SERVICES NOT COVERED, BUNDLED, USED BY PART A ONLY, ETC.) PHYSICIAN FEE SCHEDULE AND NON-PHYSICIAN PRACTITIONERS
Multi Pricing indicator:	`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 code:	`C` - CARRIER JUDGMENT
BETOS code:	`Z2` - UNDEFINED CODES
Action code:	`N` - NO MAINTENANCE FOR THIS CODE
Type of Service:	`1` - MEDICAL CARE
Anesthesia BUQ:	0