M1046 Fs oks 9-15mo < 37 < 71
Also known as: good spine outcomes, mild ODI score
Functional status with mild outcome scores 9 to 15 months after treatment with Oswestry Disability Index score less than 37 and less than 71.
In Plain Language
Spine treatment working well; Minimal disability score after treatment
Clinical Context
Quality measure documenting good functional recovery post-treatment for spine pathology. ODI <37 indicates mild residual disability or improvement.
RVU Information
CPT M1046 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 M1046?
CPT M1046 (Fs oks 9-15mo < 37 < 71) is a M Codes code. Functional status with mild outcome scores 9 to 15 months after treatment with Oswestry Disability Index score less than 37 and less than 71.
Is M1046 covered by insurance?
M1046 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Quality measure documenting good functional recovery post-treatment for spine pathology. ODI <37 indicates mild residual disability or improvement.
When is CPT M1046 used?
Quality measure documenting good functional recovery post-treatment for spine pathology. ODI <37 indicates mild residual disability or improvement.
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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.