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M1069 Pt scr ft fall rsk

M Codes

Also known as: fall risk screening, balance assessment

Patient is screened for future fall risk.

In Plain Language

Fall risk test completed; Balance and stability checked

Clinical Context

Quality measure documenting fall risk stratification using validated tools (Timed Up and Go, FRAX, Berg Balance Scale, etc.). Essential in geriatric and post-operative patients.

RVU Information

CPT M1069 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

GeriatricsPhysical MedicinePrimary Care

Frequently Asked Questions

What is CPT code M1069?

CPT M1069 (Pt scr ft fall rsk) is a M Codes code. Patient is screened for future fall risk.

Is M1069 covered by insurance?

M1069 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Quality measure documenting fall risk stratification using validated tools (Timed Up and Go, FRAX, Berg Balance Scale, etc.). Essential in geriatric and post-operative patients.

When is CPT M1069 used?

Quality measure documenting fall risk stratification using validated tools (Timed Up and Go, FRAX, Berg Balance Scale, etc.). Essential in geriatric and post-operative patients.

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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.