M1187 Pt with esrd
Also known as: ESRD diagnosis, end-stage kidney disease
Patient has end-stage renal disease documented during measurement period.
In Plain Language
Complete kidney failure; Requires dialysis or transplant
Clinical Context
Quality measure exclusion or stratifier for patients with complete renal failure requiring dialysis or transplantation, representing advanced chronic kidney disease Stage 5.
RVU Information
CPT M1187 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 M1187?
CPT M1187 (Pt with esrd) is a M Codes code. Patient has end-stage renal disease documented during measurement period.
Is M1187 covered by insurance?
M1187 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Quality measure exclusion or stratifier for patients with complete renal failure requiring dialysis or transplantation, representing advanced chronic kidney disease Stage 5.
When is CPT M1187 used?
Quality measure exclusion or stratifier for patients with complete renal failure requiring dialysis or transplantation, representing advanced chronic kidney disease Stage 5.
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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.