M1003 Tb scr 12 mo pri fst bio dz
Also known as: TB screening pre-biologic, tuberculosis baseline test
Tuberculosis screening within 12 months prior to initiation of first biologic disease-modifying antirheumatic drug. Assessment for active or latent tuberculosis infection.
In Plain Language
Lung infection test before starting strong arthritis medicine; Tuberculosis check-up
Clinical Context
Required before starting TNF inhibitors or other biologic therapies due to increased risk of TB reactivation. Includes skin testing, chest X-ray, or interferon-gamma release assays.
RVU Information
CPT M1003 does not have a physician work RVU assigned by CMS. Reimbursement for this code is determined by payer-specific fee schedules.
Billing & Documentation
M-codes cover quality measures and performance reporting. They are used in value-based care programs to track whether specific clinical actions were taken. Documentation must support that the measured action was performed or a valid exclusion applies.
Specialties
Frequently Asked Questions
What is CPT code M1003?
CPT M1003 (Tb scr 12 mo pri fst bio dz) is a M Codes code. Tuberculosis screening within 12 months prior to initiation of first biologic disease-modifying antirheumatic drug. Assessment for active or latent tuberculosis infection.
Is M1003 covered by insurance?
M1003 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Required before starting TNF inhibitors or other biologic therapies due to increased risk of TB reactivation. Includes skin testing, chest X-ray, or interferon-gamma release assays.
When is CPT M1003 used?
Required before starting TNF inhibitors or other biologic therapies due to increased risk of TB reactivation. Includes skin testing, chest X-ray, or interferon-gamma release assays.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.