M1005 Tb scr no perf
Also known as: TB screening not done, missed TB screening
Tuberculosis screening not performed on patient starting biologic disease-modifying antirheumatic drug. Indicator of care gap.
In Plain Language
Lung infection test not completed; Skipped tuberculosis check
Clinical Context
Quality measure indicator documenting failure to complete TB screening before biologic therapy initiation. Identifies potential safety concern.
RVU Information
CPT M1005 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 M1005?
CPT M1005 (Tb scr no perf) is a M Codes code. Tuberculosis screening not performed on patient starting biologic disease-modifying antirheumatic drug. Indicator of care gap.
Is M1005 covered by insurance?
M1005 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Quality measure indicator documenting failure to complete TB screening before biologic therapy initiation. Identifies potential safety concern.
When is CPT M1005 used?
Quality measure indicator documenting failure to complete TB screening before biologic therapy initiation. Identifies potential safety concern.
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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.