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M1135 Start eoc doc medial rec

M Codes

Also known as: episode start documentation, care initiation note

Start of episode of care documented in patient medical record.

In Plain Language

Beginning of treatment plan recorded; Care start date documented

Clinical Context

Required documentation marking formal initiation of care episode. Establishes baseline status and treatment goals.

RVU Information

CPT M1135 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

All SpecialtiesHome HealthTherapy Services

Frequently Asked Questions

What is CPT code M1135?

CPT M1135 (Start eoc doc medial rec) is a M Codes code. Start of episode of care documented in patient medical record.

Is M1135 covered by insurance?

M1135 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Required documentation marking formal initiation of care episode. Establishes baseline status and treatment goals.

When is CPT M1135 used?

Required documentation marking formal initiation of care episode. Establishes baseline status and treatment goals.

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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.