M1165 Pt use hspc dur meas pd
Also known as: hospice use, end-of-life services
Patient used hospice services at any time during the measurement period.
In Plain Language
Used comfort care services during period; Hospice care utilization
Clinical Context
Quality measure documenting any hospice utilization during measurement period. May indicate terminal diagnosis or advanced palliative care engagement.
RVU Information
CPT M1165 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 M1165?
CPT M1165 (Pt use hspc dur meas pd) is a M Codes code. Patient used hospice services at any time during the measurement period.
Is M1165 covered by insurance?
M1165 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Quality measure documenting any hospice utilization during measurement period. May indicate terminal diagnosis or advanced palliative care engagement.
When is CPT M1165 used?
Quality measure documenting any hospice utilization during measurement period. May indicate terminal diagnosis or advanced palliative care engagement.
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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.