M1016 Pt diagnosis meop or sur steri
Also known as: menopause diagnosis, surgical sterility doc
Patient diagnosed with perimenopause or surgical menopause with sterility or infertility.
In Plain Language
Documented menopause or inability to have children; Hormone change diagnosis
Clinical Context
Quality measure documenting diagnosis of menopause states or surgical procedures resulting in sterility. Affects treatment planning for reproductive-age patients.
RVU Information
CPT M1016 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 M1016?
CPT M1016 (Pt diagnosis meop or sur steri) is a M Codes code. Patient diagnosed with perimenopause or surgical menopause with sterility or infertility.
Is M1016 covered by insurance?
M1016 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Quality measure documenting diagnosis of menopause states or surgical procedures resulting in sterility. Affects treatment planning for reproductive-age patients.
When is CPT M1016 used?
Quality measure documenting diagnosis of menopause states or surgical procedures resulting in sterility. Affects treatment planning for reproductive-age patients.
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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.