M0004 HCPCS Level II code: Quality care for patients with neurological conditions mips value pathway
M0004 is the HCPCS code for “Quality care for patients with neurological conditions mips value pathway” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
M0004Quality care for patients with neurological conditions mips value pathway
Short description: Qual care neurologic cnd mvp
HCPCS · United States
Medicare details
The indicators CMS publishes with M0004 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
Where M0004 sits
- 1M codesMedical services and quality measures
- 2Active code M0004Quality care for patients with neurological conditions mips value pathway
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
What does HCPCS code M0004 mean?
M0004 is the HCPCS code for “Quality care for patients with neurological conditions mips value pathway” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover M0004?
CMS lists M0004’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 M0004
All M codesM0001Advancing cancer care mips value pathwaysM0002Optimal care for kidney health mips value pathwaysM0003Optimal care for patients with episodic neurological conditions mips value pathwaysM0005Value 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 therapyM0076ProlotherapyM0100Intragastric hypothermia using gastric freezing