M1057 Aspirin not used, no rsn
Also known as: aspirin not used, prevention gap
Patient is not using aspirin and no reason is documented for patient not using aspirin.
In Plain Language
Heart protection medication not taken; No documented reason for avoiding aspirin
Clinical Context
Quality measure identifying patients not on indicated aspirin therapy without documented contraindication. Indicates care gap.
RVU Information
CPT M1057 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 M1057?
CPT M1057 (Aspirin not used, no rsn) is a M Codes code. Patient is not using aspirin and no reason is documented for patient not using aspirin.
Is M1057 covered by insurance?
M1057 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Quality measure identifying patients not on indicated aspirin therapy without documented contraindication. Indicates care gap.
When is CPT M1057 used?
Quality measure identifying patients not on indicated aspirin therapy without documented contraindication. Indicates care gap.
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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.