M1034 Adt 180 dys pharmthry oud
Also known as: extended addiction therapy, sustained opioid treatment
Patient is taking pharmacotherapy for opioid use disorder for at least 180 days.
In Plain Language
Long-term addiction medication; Sustained drug therapy for opioids
Clinical Context
Quality measure documenting sustained engagement in medication-assisted treatment for opioid use disorder. Indicates better long-term outcomes.
RVU Information
CPT M1034 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 M1034?
CPT M1034 (Adt 180 dys pharmthry oud) is a M Codes code. Patient is taking pharmacotherapy for opioid use disorder for at least 180 days.
Is M1034 covered by insurance?
M1034 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Quality measure documenting sustained engagement in medication-assisted treatment for opioid use disorder. Indicates better long-term outcomes.
When is CPT M1034 used?
Quality measure documenting sustained engagement in medication-assisted treatment for opioid use disorder. Indicates better long-term outcomes.
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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.