M0003 HCPCS Level II code: Optimal care for patients with episodic neurological conditions mips value pathways
CMS terminated M0003: its last date of service was Dec 31, 2024. It stays here for looking up older claims; newer services need a current code.
Official description
M0003Optimal care for patients with episodic neurological conditions mips value pathways
Short description: Opt care episod neuro mvp
HCPCS · United States
Medicare details
The indicators CMS publishes with M0003 in its October 2026 file. They describe Medicare’s handling, not another payer’s.
- Medicare coverage
- Carrier judgment
- Medicare pricing
- Service not separately priced by Part B (e.g., services not covered, bundled, used by Part A only, etc.)
- Type of service
- Medical care
- BETOS category
- Undefined codes
- Added
- Jan 1, 2023
- Terminated after
- Dec 31, 2024
Where M0003 sits
- 1M codesMedical services and quality measures
- 2Terminated M0003Optimal care for patients with episodic neurological conditions mips value pathways
Source and release
- Data release
- HCPCS Level II · October 2026
- Effective date
- Oct 1, 2026
- Publisher
- CMS
This page is built from the HCPCS Level II catalog that Vero Codes reads when it suggests codes: Centers for Medicare & Medicaid Services’s October 2026 release, imported from the publisher’s file and checked against it. The description, notes and structured data come from the same record.
Frequently asked questions
Is HCPCS code M0003 still valid?
No. CMS terminated M0003; its last date of service was Dec 31, 2024. It is listed for looking up services from before then. Use a current code for newer services.
Does Medicare cover M0003?
CMS lists M0003’s Medicare coverage as “Carrier judgment” and its pricing as “Service not separately priced by Part B (e.g., services not covered, bundled, used by Part A only, etc.)”. Coverage and payment still depend on the patient, the setting, the documentation and the payer.
Which HCPCS Level II release does this page use?
It uses CMS’s October 2026 release, in effect from Oct 1, 2026 to Dec 31, 2026. It is a reference: confirm the code against the current list and the payer’s rules before you submit it.
Codes beside M0003
All M codesM0001Advancing cancer care mips value pathwaysM0002Optimal care for kidney health mips value pathwaysM0004Quality care for patients with neurological conditions mips value pathwayM0005Value in primary care mips value pathwayM0010Enhancing oncology model (eom) monthly enhanced oncology services (meos) payment for eom enhanced servicesM0064Brief office visit for the sole purpose of monitoring or changing drug prescriptions used in the treatment of mental psychoneurotic and personality disordersM0075Cellular therapyM0076Prolotherapy