M1045 Fs oks 9-15mo >= 37 >= 71
Also known as: poor spine outcomes, severe ODI score
Functional status with moderate to severe outcome scores 9 to 15 months after treatment with Oswestry Disability Index score of 37 or greater and 71 or greater.
In Plain Language
Spine surgery results disappointing; High disability score after treatment
Clinical Context
Quality measure documenting suboptimal functional recovery post-treatment for spine pathology. ODI ≥37 indicates significant residual disability.
RVU Information
CPT M1045 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 M1045?
CPT M1045 (Fs oks 9-15mo >= 37 >= 71) is a M Codes code. Functional status with moderate to severe outcome scores 9 to 15 months after treatment with Oswestry Disability Index score of 37 or greater and 71 or greater.
Is M1045 covered by insurance?
M1045 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Quality measure documenting suboptimal functional recovery post-treatment for spine pathology. ODI ≥37 indicates significant residual disability.
When is CPT M1045 used?
Quality measure documenting suboptimal functional recovery post-treatment for spine pathology. ODI ≥37 indicates significant residual disability.
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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.