2025 HCPCS Code M1045
Functional status measured by the oxford knee score (oks) at one year (9 to 15 months) postoperatively was greater than or equal to 37 or knee injury and osteoarthritis outcome score joint replacement (koos, jr.) was greater than or equal to 71
TAGS: outcome osteoarthritis measured replacement score greater postoperatively joint status functional equal injury oxfordShort Description | Fs oks 9-15mo >= 37 >= 71 |
HCPCS Action Code | N - No maintenance for this code |
HCPCS Coverage Code | C - Carrier judgment |
HCPCS Code Added Date | January 01, 2019 |
HCPCS Action Effective Date | January 01, 2021 |
HCPCS Pricing Indicator Code | 00 - Service not separately priced by part B (e.G., services not covered, bundled, used by part a only, etc.) |
HCPCS Type Of Service Code | 1 - Medical care |
HCPCS Multiple Pricing Indicator Code | 9 - Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99') |
HCPCS Anesthesia Base Unit Quantity | 0 |
HCPCS Coverage Issues Manual Reference Section Number |
Check Similar HCPCS Codes
- M1195 - Rpt wo imp/con mmr/msi
- M1196 - Ixv nrs vrs iqa >=4
- M1197 - Isa reduced >=3 fr ixv
- M1198 - Isa not red 3pts /no assess
- M1199 - Pt rec'g rrt
- M1200 - Ace-i/arb rx
- M1201 - Med rsn no ace-i/arb rx
- M1202 - Pt rsn no ace-i/arb rx
- M1203 - No rsn ace-i/arb rx
- M1204 - Ixv nrs vrs iqa >=4
- M1205 - Isa reduced >=3
- M1206 - Isa not red 3pts/no assess
- M1207 - Pt scrn sdoh
- M1208 - Pt no scrn sdoh
- M1209 - >=2 same hi-rsk med w/o diag
- M1210 - >=2 same meds tbl4 not ord
- M1211 - Hemoglobin a1c level >9.0%
- M1212 - Missing hb a1c level
- M1213 - No hx spiro prs spiro>=70%
- M1214 - Spiro results wth obs doc