M1059 Pt no prm nurs hm res in pp
Also known as: no nursing home admission, community dwelling
Patient is not admitted to a permanent nursing home residence during the measurement period.
In Plain Language
Remained in home setting; Did not move to long-term care
Clinical Context
Documents patient remaining in community or home setting rather than transition to institutional care.
RVU Information
CPT M1059 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 M1059?
CPT M1059 (Pt no prm nurs hm res in pp) is a M Codes code. Patient is not admitted to a permanent nursing home residence during the measurement period.
Is M1059 covered by insurance?
M1059 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Documents patient remaining in community or home setting rather than transition to institutional care.
When is CPT M1059 used?
Documents patient remaining in community or home setting rather than transition to institutional 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.