M1190 Doc khe not pef with efgr/uacr
Also known as: kidney health evaluation not completed, incomplete renal assessment
Kidney health evaluation not performed or missing documented eGFR or urine albumin-to-creatinine ratio.
In Plain Language
Kidney tests not done; Missing kidney function assessment
Clinical Context
Quality measure denominator tracking inadequate kidney disease monitoring with missing estimated glomerular filtration rate or albuminuria assessment.
RVU Information
CPT M1190 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 M1190?
CPT M1190 (Doc khe not pef with efgr/uacr) is a M Codes code. Kidney health evaluation not performed or missing documented eGFR or urine albumin-to-creatinine ratio.
Is M1190 covered by insurance?
M1190 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Quality measure denominator tracking inadequate kidney disease monitoring with missing estimated glomerular filtration rate or albuminuria assessment.
When is CPT M1190 used?
Quality measure denominator tracking inadequate kidney disease monitoring with missing estimated glomerular filtration rate or albuminuria assessment.
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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.