Ongoing care not clinically indicated because the patient needed a home program only, referral to another provider or facility, or consultation only, as documented in the medical record

M1113
HCPCS Code

2023 HCPCS
Billable/Valid Code

M1113 is a valid 2023 HCPCS Code that could be used to indicate Ongoing care not clinically indicated because the patient needed a home program only, referral to another provider or facility, or consultation only, as documented in the medical record for reimbursement purposes.

M1113 belongs to Medical Care Type of Service and has been in effect since Jan 01, 2021.

Short description for M1113 HCPCS code:

Oc ni pt home prog

HCPCS M1113

M1113 code information

HCPCS code:	M1113
Description:	ONGOING CARE NOT CLINICALLY INDICATED BECAUSE THE PATIENT NEEDED A HOME PROGRAM ONLY, REFERRAL TO ANOTHER PROVIDER OR FACILITY, OR CONSULTATION ONLY, AS DOCUMENTED IN THE MEDICAL RECORD
Effective Date:	Jan 01, 2021
Added Date:	Jan 01, 2020
Termination Date:	HCPCS M1113 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:	`C` - CHANGE IN LONG DESCRIPTION OF PROCEDURE OR MODIFIER CODE
Type of Service:	`1` - MEDICAL CARE
Anesthesia BUQ:	0