M0003 — Optimal care for patients with episodic neurological conditions mips value pathways
M0003 is a HCPCS Level II code for optimal care for patients with episodic neurological conditions mips value pathways. It belongs to the Medical Services section. It was terminated on December 31, 2024 and is not valid on new claims.
This code has been terminated
CMS terminated M0003 on December 31, 2024. It stays in the file as history — a claim you are auditing from before that date may legitimately carry it — but it must not appear on a new claim. The adjacent codes below are the usual place to look for its replacement.
Medicare coverage: Carrier judgment
Coverage is decided by your Medicare contractor, not by national policy. Whether this is paid depends on the LCD for your jurisdiction and on what the documentation supports.
From the coverage field of the CMS Alpha-Numeric HCPCS File, release 2026Q3-Jul. This states Medicare’s position on the code, not on your particular claim.
The CMS record for M0003
- Long descriptor
- Optimal care for patients with episodic neurological conditions mips value pathways
- Short descriptor
- Opt care episod neuro mvp
- Added
- January 1, 2023
- Terminated
- December 31, 2024
- BETOS
- Z2
- Pricing indicator
- 00 — Not priced by Part B
The official wording. This is what the code means.
CMS's 28-character form, which is what shows up on a remittance advice.
When CMS introduced the code.
When CMS retired it.
Berenson-Eggers Type of Service — CMS's own analytic grouping.
Service not separately priced by Part B — not covered, bundled into another service, or used by Part A only.
Codes adjacent to M0003
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If M0003 is not quite right, the correct code is very often within a few positions of it.
- L8699Prosthetic implant, not otherwise specified
- L8701Powered upper extremity range of motion assist device, elbow, wrist, hand with single or double upright(s), includes microprocessor, sensors, all components and accessories, custom fabricated
- L8702Powered upper extremity range of motion assist device, elbow, wrist, hand, finger, single or double upright(s), includes microprocessor, sensors, all components and accessories, custom fabricated
- L8720External lower extremity sensory prosthetic device, cutaneous stimulation of mechanoreceptors proximal to the ankle, per leg
- L8721Receptor sole for use with l8720, replacement, each
- L9900Orthotic and prosthetic supply, accessory, and/or service component of another hcpcs "l" code
- M0001Advancing cancer care mips value pathways
- M0002Optimal care for kidney health mips value pathways
- M0004Quality care for patients with neurological conditions mips value pathway
- M0005Value in primary care mips value pathway
- M0010Enhancing oncology model (eom) monthly enhanced oncology services (meos) payment for eom enhanced services
- M0064Brief office visit for the sole purpose of monitoring or changing drug prescriptions used in the treatment of mental psychoneurotic and personality disordersterminated
- M0075Cellular therapy
- M0076Prolotherapy
- M0100Intragastric hypothermia using gastric freezing
- M0201Administration of pneumococcal, influenza, hepatitis b, and/or covid-19 vaccine inside a patient's home; reported only once per individual home per date of service when such vaccine administration(s) are performed at the patient's home
Questions about M0003
What is HCPCS code M0003?
M0003 is a HCPCS Level II code for optimal care for patients with episodic neurological conditions mips value pathways. It sits in the Medical Services section.
Does Medicare cover M0003?
The CMS HCPCS file marks M0003 as "Carrier judgment". Coverage is decided by your Medicare contractor, not by national policy. Whether this is paid depends on the LCD for your jurisdiction and on what the documentation supports.
Is M0003 still valid?
No. M0003 was terminated on December 31, 2024 and should not be used on new claims.