>=2 same hi-rsk med w/o diag
Full descriptor
At least two orders for high-risk medications from the same drug class, (table 4), without appropriate diagnoses
Details
- Code
- M1209
- Short descriptor
- >=2 same hi-rsk med w/o diag
- Code set
- HCPCS Level II
- Release
- July 2026
- Status
- Active
- Added
- Jan 1 2023
Nearby codes
Code sets are published in blocks, so neighbours are usually related.
Pt no scrn sdoh
>=2 same meds tbl4 not ord
Pt scrn sdoh
Gsa level>9.0%
Isa not red 3pts/no assess
Missing gsa not perf
No hx spiro prs spiro>=70%
Isa reduced >=3
Sources
- CMS HCPCS Level II — July 2026, public domain
Reference information only. Not billing advice. Verify against the payer before you file.