M1004 Doc medial rsn no srn tb
Also known as: TB screening exemption doc, TB waiver documentation
Documentation that medical reason exists for not screening for tuberculosis in patient starting biologic disease-modifying antirheumatic drug.
In Plain Language
Reason why TB test wasn't done; Medical exception documentation
Clinical Context
Used when clinical circumstances (e.g., immunosuppression, recent TB exposure history) preclude standard TB screening before biologic initiation.
RVU Information
CPT M1004 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 M1004?
CPT M1004 (Doc medial rsn no srn tb) is a M Codes code. Documentation that medical reason exists for not screening for tuberculosis in patient starting biologic disease-modifying antirheumatic drug.
Is M1004 covered by insurance?
M1004 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Used when clinical circumstances (e.g., immunosuppression, recent TB exposure history) preclude standard TB screening before biologic initiation.
When is CPT M1004 used?
Used when clinical circumstances (e.g., immunosuppression, recent TB exposure history) preclude standard TB screening before biologic initiation.
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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.