M1199 Pt rec'g rrt
Also known as: dialysis treatment, renal replacement therapy
Patient receiving renal replacement therapy during measurement period.
In Plain Language
Kidney dialysis or transplant; Kidney replacement treatment
Clinical Context
Quality measure stratifier identifying patients with end-stage renal disease receiving dialysis or transplantation, used to exclude or risk-adjust certain quality measures.
RVU Information
CPT M1199 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 M1199?
CPT M1199 (Pt rec'g rrt) is a M Codes code. Patient receiving renal replacement therapy during measurement period.
Is M1199 covered by insurance?
M1199 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Quality measure stratifier identifying patients with end-stage renal disease receiving dialysis or transplantation, used to exclude or risk-adjust certain quality measures.
When is CPT M1199 used?
Quality measure stratifier identifying patients with end-stage renal disease receiving dialysis or transplantation, used to exclude or risk-adjust certain quality measures.
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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.