M1034 HCPCS Level II code: Adults who have at least 180 days of continuous pharmacotherapy with a medication prescribed for oud without a gap of more than seven days
M1034 is the HCPCS code for “Adults who have at least 180 days of continuous pharmacotherapy with a medication prescribed for oud without a gap of more than seven days” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
M1034Adults who have at least 180 days of continuous pharmacotherapy with a medication prescribed for oud without a gap of more than seven days
Short description: Adt 180 dys pharmthry oud
HCPCS · United States
Medicare details
The indicators CMS publishes with M1034 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, 2019
Where M1034 sits
- 1M codesMedical services and quality measures
- 2Active code M1034Adults who have at least 180 days of continuous pharmacotherapy with a medication prescribed for oud without a gap of more than seven days
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 M1034 mean?
M1034 is the HCPCS code for “Adults who have at least 180 days of continuous pharmacotherapy with a medication prescribed for oud without a gap of more than seven days” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover M1034?
CMS lists M1034’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 M1034
All M codesM1028Documentation of patients with primary headache diagnosis and imaging other than ct or mri obtainedM1029Imaging of the head (ct or mri) was not obtained, reason not givenM1030Patients with clinical indications for imaging of the headM1031Patients with no clinical indications for imaging of the headM1032Adults currently taking pharmacotherapy for oudM1033Pharmacotherapy for oud initiated after june 30th of performance periodM1035Adults who are deliberately phased out of medication assisted treatment (mat) prior to 180 days of continuous treatmentM1036Adults who have not had at least 180 days of continuous pharmacotherapy with a medication prescribed for oud without a gap of more than seven daysM1037Patients with a diagnosis of lumbar spine region cancer at the time of the procedureM1038Patients with a diagnosis of lumbar spine region fracture at the time of the procedureM1039Patients with a diagnosis of lumbar spine region infection at the time of the procedureM1040Patients with a diagnosis of lumbar idiopathic or congenital scoliosis