M1164 Pt with dementia any time
Also known as: dementia diagnosis, cognitive impairment
Patient has diagnosis of dementia documented at any time.
In Plain Language
Memory loss and confusion diagnosis; Alzheimer's or cognitive decline
Clinical Context
Documents dementia diagnosis (Alzheimer's disease, vascular dementia, Lewy body, frontotemporal, etc.). Guides treatment, safety planning, and caregiver support.
RVU Information
CPT M1164 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 M1164?
CPT M1164 (Pt with dementia any time) is a M Codes code. Patient has diagnosis of dementia documented at any time.
Is M1164 covered by insurance?
M1164 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Documents dementia diagnosis (Alzheimer's disease, vascular dementia, Lewy body, frontotemporal, etc.). Guides treatment, safety planning, and caregiver support.
When is CPT M1164 used?
Documents dementia diagnosis (Alzheimer's disease, vascular dementia, Lewy body, frontotemporal, etc.). Guides treatment, safety planning, and caregiver support.
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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.