M0010 HCPCS code: Enhancing oncology model (eom) monthly enhanced oncology services (meos) payment for eom enhanced services
M0010 is the HCPCS Level II code for enhancing oncology model (eom) monthly enhanced oncology services (meos) payment for eom enhanced services. In 2024 Medicare paid an average of $71.28 per service for M0010 across 187,861 services. Its Medicare coverage code is C (Carrier judgment): Coverage is decided by the Medicare contractor (MAC) case by case. The NCCI unit limit is 1 per day on outpatient hospital claims. Medicare volume rose 145% from 2023 to 2024 (76,643 to 187,861 services). In 2024, about 1,274 clinicians billed Medicare for M0010 for 29,899 beneficiaries; Texas, Tennessee, Virginia accounted for 48% of services.
Code details
| Field | Value |
|---|---|
| Section | M codes — Medical services and quality measures |
| Coverage code | C — Carrier judgment |
| Pricing indicator | 13 |
| BETOS category | P7B |
| Added | 2023-04-01 |
| Last action effective | 2023-04-01 |
Who bills M0010 (2024)
| Measure | Value |
|---|---|
| Clinicians billing (by place of service) | 1,274 |
| Medicare beneficiaries | 29,899 |
| States with claims | 37 |
| Share of services in top 3 states (Texas, Tennessee, Virginia) | 48% |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for M0010, 2023–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2023 | 76,643 | 16,725 | $71.77 | $71.77 |
| 2024 | 187,861 | 29,899 | $71.28 | $71.28 |
States with the most M0010 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| Texas | 45,083 | $70.67 |
| Tennessee | 23,682 | $71.00 |
| Virginia | 20,818 | $70.39 |
| Arizona | 12,075 | $70.12 |
| Colorado | 9,095 | $71.24 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| outpatient hospital claims | 1 | Code Descriptor / CPT Instruction |
| practitioner claims | 1 | Code Descriptor / CPT Instruction |
What changed for M0010
- 2023-04-01: M0010 added to HCPCS Level II
- Next scheduled CMS quarterly update (HCPCS and DMEPOS fee schedule): 2027-01-01
Frequently asked questions
What is HCPCS code M0010?
M0010 is the HCPCS Level II code for enhancing oncology model (eom) monthly enhanced oncology services (meos) payment for eom enhanced services. Short descriptor: "Eom meos payment".
How much does Medicare pay for M0010?
In 2024, the average Medicare payment was $71.28 per service (average allowed $71.28).
Does Medicare cover M0010?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
How many units of M0010 can be billed per day?
1 on outpatient hospital claims; 1 on practitioner claims (NCCI medically unlikely edits).
Related M00 codes
- M0001 — Advancing cancer care mips value pathways
- M0002 — Optimal care for kidney health mips value pathways
- M0003 — Optimal care for patients with episodic neurological conditions mips value pathways
- M0004 — Quality care for patients with neurological conditions mips value pathway
- M0005 — Value in primary care mips value pathway
- M0064 — Brief office visit for the sole purpose of monitoring or changing drug prescriptions used in the treatment of mental psychoneurotic and personality disorders
- M0075 — Cellular therapy
- M0076 — Prolotherapy
Building a device that would bill under a code like this? Caduvo matches a device description to HCPCS/CPT codes, Medicare coverage and payment, and the FDA pathway in one report.
Next steps
- Run a reimbursement report for a device billed under M0010
- Watch M0010 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for M0010
Sources: CMS HCPCS Level II release October 2025; CMS DMEPOS fee schedule; CMS NCCI MUE tables; CMS Medicare utilization (physician and DME supplier files); CMS Medicare Coverage Database articles. Fees are Medicare allowables, not commercial rates. Not billing or legal advice.