M1035 Adults who are deliberately phased out of medication assisted treatment (mat) prior to 180 days of continuous treatment

Short descriptor: Adt pd out mat pr 180 dys tx

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M1035 is the HCPCS Level II code for Adults who are deliberately phased out of medication assisted treatment (mat) prior to 180 days of continuous treatment (2026). It belongs to Section M — Medical Services. Under Medicare, its coverage status is: Carrier judgment. Part B pricing methodology: Not separately priced by Part B.

Classification & CMS Attributes

Medicare Coverage
Carrier judgment (code C)
Part B Pricing
Not separately priced by Part B (indicator 00)
Type of Service
Medical care
Effective Date
2019-01-01
2026 Maintenance
No change this year

References

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Reference M1035 with the canonical source and edition:

M1035 — Adults who are deliberately phased out of medication assisted treatment (mat) prior to 180 days of continuous treatment. ICD-10 Coding Pro (HCPCS Level II 2026). https://icd10codingpro.com/hcpcs-codes/M1035

Canonical URL: https://icd10codingpro.com/hcpcs-codes/M1035

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Reviewed by Prajwal Shrestha, CPC, CRC
Certified Professional Coder (CPC) and Certified Risk Adjustment Coder (CRC) · AAPC Member ID 01997614 · About · Editorial policy · Content last reviewed: 2026-01-01

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