Ongoing care not indicated, patient seen only 1-2 visits (e.g., home program only, referred to another provider or facility, consultation only)

M1138
HCPCS Code

2023 HCPCS
Billable/Valid Code

M1138 is a valid 2023 HCPCS Code that could be used to indicate Ongoing care not indicated, patient seen only 1-2 visits (e.g., home program only, referred to another provider or facility, consultation only) for reimbursement purposes.

M1138 belongs to Medical Care Type of Service and has been in effect since Jan 01, 2021.

Short description for M1138 HCPCS code:

Oc ni pt 1-2 vis

HCPCS M1138

M1138 code information

HCPCS code:	M1138
Description:	ONGOING CARE NOT INDICATED, PATIENT SEEN ONLY 1-2 VISITS (E.G., HOME PROGRAM ONLY, REFERRED TO ANOTHER PROVIDER OR FACILITY, CONSULTATION ONLY)
Effective Date:	Jan 01, 2021
Added Date:	Jan 01, 2020
Termination Date:	HCPCS M1138 was terminated on Dec 31, 2020
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:	`D` - DISCONTINUE PROCEDURE OR MODIFIER CODE
Type of Service:	`1` - MEDICAL CARE
Anesthesia BUQ:	0