M1197 Isa reduced >=3 fr ixv
Also known as: symptom improvement documented, clinically significant symptom reduction
Symptom intensity or quality or affect score reduced by 3 or more points from initial or previous symptom assessment.
In Plain Language
Significant improvement in symptom control; Effective symptom management
Clinical Context
Palliative and oncology quality measure numerator documenting clinically meaningful improvement in symptom severity indicating effective symptom management intervention.
RVU Information
CPT M1197 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 M1197?
CPT M1197 (Isa reduced >=3 fr ixv) is a M Codes code. Symptom intensity or quality or affect score reduced by 3 or more points from initial or previous symptom assessment.
Is M1197 covered by insurance?
M1197 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Palliative and oncology quality measure numerator documenting clinically meaningful improvement in symptom severity indicating effective symptom management intervention.
When is CPT M1197 used?
Palliative and oncology quality measure numerator documenting clinically meaningful improvement in symptom severity indicating effective symptom management intervention.
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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.