Most favored nation (mfn) model drug add-on amount, per dose, (do not bill with line items that have the jw modifier)

M1145
HCPCS Code

2023 HCPCS
Billable/Valid Code

M1145 is a valid 2023 HCPCS Code that could be used to indicate Most favored nation (mfn) model drug add-on amount, per dose, (do not bill with line items that have the jw modifier) for reimbursement purposes.

M1145 belongs to Medical Care Type of Service and has been in effect since Jan 01, 2021.

Short description for M1145 HCPCS code:

Mfn drug add-on, per dose

HCPCS M1145

M1145 code information

HCPCS code:	M1145
Description:	MOST FAVORED NATION (MFN) MODEL DRUG ADD-ON AMOUNT, PER DOSE, (DO NOT BILL WITH LINE ITEMS THAT HAVE THE JW MODIFIER)
Effective Date:	Jan 01, 2021
Added Date:	Jan 01, 2021
Termination Date:	HCPCS M1145 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:	`A` - ADD PROCEDURE OR MODIFIER CODE
Type of Service:	`1` - MEDICAL CARE
Anesthesia BUQ:	0