M0064 HCPCS code: Brief office visit for the sole purpose of monitoring or changing drug prescriptions used in the treatment of mental psychoneurotic and personality disorders
M0064 is the HCPCS Level II code for brief office visit for the sole purpose of monitoring or changing drug prescriptions used in the treatment of mental psychoneurotic and personality disorders. CMS terminated M0064 on 2014-12-31; do not bill it for later dates of service. Its Medicare coverage code is D (Special coverage instructions apply): Medicare covers it when its national or local coverage criteria are met.
Code details
| Field | Value |
|---|---|
| Section | M codes — Medical services and quality measures |
| Coverage code | D — Special coverage instructions apply |
| Pricing indicator | 11 — Priced using national relative value units (Physician Fee Schedule) |
| BETOS category | M5B |
| Added | 1992-01-01 |
| Last action effective | 2015-01-01 |
| Terminated | 2014-12-31 |
What changed for M0064
- 1992-01-01: M0064 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 M0064?
M0064 is the HCPCS Level II code for brief office visit for the sole purpose of monitoring or changing drug prescriptions used in the treatment of mental psychoneurotic and personality disorders. Short descriptor: "Visit for drug monitoring".
Does Medicare cover M0064?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
Related M00 codes
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- 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
- M0010 — Enhancing oncology model (eom) monthly enhanced oncology services (meos) payment for eom enhanced services
- 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 M0064
- Watch M0064 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for M0064
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.