M1020 Adl pt mj dep ds no rs 12 mo
Also known as: depression treatment failure, mood disorder non-response
Patient diagnosed with major depressive disorder and does not demonstrate response in last 12 months.
In Plain Language
Depression not improving; Treatment-resistant mood disorder
Clinical Context
Quality measure documenting treatment-resistant major depressive disorder. Indicates need for treatment modification or intensification.
RVU Information
CPT M1020 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 M1020?
CPT M1020 (Adl pt mj dep ds no rs 12 mo) is a M Codes code. Patient diagnosed with major depressive disorder and does not demonstrate response in last 12 months.
Is M1020 covered by insurance?
M1020 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Quality measure documenting treatment-resistant major depressive disorder. Indicates need for treatment modification or intensification.
When is CPT M1020 used?
Quality measure documenting treatment-resistant major depressive disorder. Indicates need for treatment modification or intensification.
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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.