M1058 Pt prm nurs hm res in pp
Also known as: nursing home admission, permanent SNF placement
Patient is admitted to a permanent nursing home residence during the measurement period.
In Plain Language
Moved to long-term care facility; Permanent nursing home placement
Clinical Context
Documents transition to institutional care setting indicating functional decline or need for 24-hour care.
RVU Information
CPT M1058 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 M1058?
CPT M1058 (Pt prm nurs hm res in pp) is a M Codes code. Patient is admitted to a permanent nursing home residence during the measurement period.
Is M1058 covered by insurance?
M1058 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Documents transition to institutional care setting indicating functional decline or need for 24-hour care.
When is CPT M1058 used?
Documents transition to institutional care setting indicating functional decline or need for 24-hour care.
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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.