M1191 Hspc service any time in meas pd
Also known as: hospice service receipt, hospice enrollment
Patient receives hospice service at any time during measurement period.
In Plain Language
End-of-life care received; Hospice services
Clinical Context
Quality measure exclusion documenting any hospice service utilization during the measurement period for patients receiving terminal or comfort-focused care.
RVU Information
CPT M1191 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 M1191?
CPT M1191 (Hspc service any time in meas pd) is a M Codes code. Patient receives hospice service at any time during measurement period.
Is M1191 covered by insurance?
M1191 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Quality measure exclusion documenting any hospice service utilization during the measurement period for patients receiving terminal or comfort-focused care.
When is CPT M1191 used?
Quality measure exclusion documenting any hospice service utilization during the measurement period for patients receiving terminal or comfort-focused care.
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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.