M1188 Pt with ckd stg 5
Also known as: CKD Stage 5, severe chronic kidney disease
Patient has chronic kidney disease Stage 5 without end-stage renal disease diagnosis during measurement period.
In Plain Language
Severe kidney damage; Severely reduced kidney function
Clinical Context
Quality measure stratifier for patients with severely reduced glomerular filtration rate (eGFR < 15 mL/min/1.73m2) but not yet on dialysis or transplanted.
RVU Information
CPT M1188 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 M1188?
CPT M1188 (Pt with ckd stg 5) is a M Codes code. Patient has chronic kidney disease Stage 5 without end-stage renal disease diagnosis during measurement period.
Is M1188 covered by insurance?
M1188 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Quality measure stratifier for patients with severely reduced glomerular filtration rate (eGFR < 15 mL/min/1.73m2) but not yet on dialysis or transplanted.
When is CPT M1188 used?
Quality measure stratifier for patients with severely reduced glomerular filtration rate (eGFR < 15 mL/min/1.73m2) but not yet on dialysis or transplanted.
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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.