M1189 Doc khe pef with efgr/uacr
Also known as: kidney health assessment, renal function evaluation with uACR
Documented kidney health evaluation with documented eGFR and urine albumin-to-creatinine ratio.
In Plain Language
Kidney function blood and urine tests; Comprehensive renal assessment
Clinical Context
Quality measure numerator tracking appropriate kidney disease monitoring with estimated glomerular filtration rate and albuminuria assessment for chronic kidney disease management.
RVU Information
CPT M1189 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 M1189?
CPT M1189 (Doc khe pef with efgr/uacr) is a M Codes code. Documented kidney health evaluation with documented eGFR and urine albumin-to-creatinine ratio.
Is M1189 covered by insurance?
M1189 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Quality measure numerator tracking appropriate kidney disease monitoring with estimated glomerular filtration rate and albuminuria assessment for chronic kidney disease management.
When is CPT M1189 used?
Quality measure numerator tracking appropriate kidney disease monitoring with estimated glomerular filtration rate and albuminuria assessment for chronic kidney disease management.
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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.