MA HCPCS Level II modifier: Ordering professional is not required to consult a clinical decision support mechanism due to service being rendered to a patient with a suspected or…
CMS terminated MA: 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
MAOrdering professional is not required to consult a clinical decision support mechanism due to service being rendered to a patient with a suspected or confirmed emergency medical condition
Short description: Emer med cond susp/confirm
HCPCS · United States
Medicare details
The indicators CMS publishes with MA in its October 2026 file. They describe Medicare’s handling, not another payer’s.
- Medicare coverage
- Carrier judgment
- Added
- Jan 1, 2020
- Terminated after
- Dec 31, 2024
Where MA sits
- 1GroupHCPCS modifiers
- 2Terminated MAOrdering professional is not required to consult a clinical decision support mechanism due to service being rendered to a patient with a suspected or confirmed emergency medical condition
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 MA still valid?
No. CMS terminated MA; 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.
Where is MA in the HCPCS Level II list?
MA is listed under Modifiers.
Does Medicare cover MA?
CMS lists MA’s Medicare coverage as “Carrier judgment”. 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 MA
All modifiersLMLeft main coronary arteryLRLaboratory round tripLSFda-monitored intraocular lens implantLTLeft side (used to identify procedures performed on the left side of the body)LUFractionated paymentM2Medicare secondary payer (msp)MBOrdering professional is not required to consult a clinical decision support mechanism due to the significant hardship exception of insufficient internet accessMCOrdering professional is not required to consult a clinical decision support mechanism due to the significant hardship exception of electronic health record or clinical decision…MDOrdering professional is not required to consult a clinical decision support mechanism due to the significant hardship exception of extreme and uncontrollable circumstancesMEThe order for this service adheres to appropriate use criteria in the clinical decision support mechanism consulted by the ordering professionalMFThe order for this service does not adhere to the appropriate use criteria in the clinical decision support mechanism consulted by the ordering professionalMGThe order for this service does not have applicable appropriate use criteria in the qualified clinical decision support mechanism consulted by the ordering professional