M1006 Dz not ases, no rsn
Also known as: disease assessment not done, baseline assessment missing
Patient disease status not assessed and no reason documented for patient starting biologic disease-modifying antirheumatic drug.
In Plain Language
Disease severity evaluation not recorded; Baseline assessment gap
Clinical Context
Quality measure indicating failure to establish baseline disease activity before initiating biologic therapy. Essential for monitoring treatment response.
RVU Information
CPT M1006 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 M1006?
CPT M1006 (Dz not ases, no rsn) is a M Codes code. Patient disease status not assessed and no reason documented for patient starting biologic disease-modifying antirheumatic drug.
Is M1006 covered by insurance?
M1006 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Quality measure indicating failure to establish baseline disease activity before initiating biologic therapy. Essential for monitoring treatment response.
When is CPT M1006 used?
Quality measure indicating failure to establish baseline disease activity before initiating biologic therapy. Essential for monitoring treatment response.
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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.