M1150 Lvef <=40% or mod/sev l vsf
Also known as: reduced LVEF, heart failure with reduced EF
Patient with left ventricular ejection fraction of 40 percent or less or moderate to severe left ventricular systolic function.
In Plain Language
Heart pumping weakness; Heart not pumping well enough
Clinical Context
Documents significant left ventricular dysfunction. LVEF ≤40% defines heart failure with reduced ejection fraction. Important for medication management and prognosis.
RVU Information
CPT M1150 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 M1150?
CPT M1150 (Lvef <=40% or mod/sev l vsf) is a M Codes code. Patient with left ventricular ejection fraction of 40 percent or less or moderate to severe left ventricular systolic function.
Is M1150 covered by insurance?
M1150 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Documents significant left ventricular dysfunction. LVEF ≤40% defines heart failure with reduced ejection fraction. Important for medication management and prognosis.
When is CPT M1150 used?
Documents significant left ventricular dysfunction. LVEF ≤40% defines heart failure with reduced ejection fraction. Important for medication management and prognosis.
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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.