M1040 Pt diagnosis lum idi or cong scol
Also known as: lumbar scoliosis, congenital spine curvature
Patient diagnosed with idiopathic or congenital scoliosis of the lumbar region.
In Plain Language
Abnormal spine curve in lower back; Congenital or idiopathic spinal curvature
Clinical Context
Documents abnormal lateral curvature of lumbar spine, either developmental or of unknown etiology. May be associated with pain or progressive deformity.
RVU Information
CPT M1040 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 M1040?
CPT M1040 (Pt diagnosis lum idi or cong scol) is a M Codes code. Patient diagnosed with idiopathic or congenital scoliosis of the lumbar region.
Is M1040 covered by insurance?
M1040 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Documents abnormal lateral curvature of lumbar spine, either developmental or of unknown etiology. May be associated with pain or progressive deformity.
When is CPT M1040 used?
Documents abnormal lateral curvature of lumbar spine, either developmental or of unknown etiology. May be associated with pain or progressive deformity.
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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.