M1201 Medial rsn no ace-i/arb prescription
Also known as: ACE-I/ARB contraindication, RAAS inhibitor exemption
Documented medical reason for not administering angiotensin-converting enzyme inhibitor or angiotensin II receptor blocker therapy.
In Plain Language
Medical reason for not taking blood pressure medication; Valid reason to avoid kidney-protective drug
Clinical Context
Quality measure exclusion documenting medical contraindication to ACE inhibitors or angiotensin II receptor blockers such as hyperkalemia or severe renal impairment.
RVU Information
CPT M1201 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 M1201?
CPT M1201 (Medial rsn no ace-i/arb prescription) is a M Codes code. Documented medical reason for not administering angiotensin-converting enzyme inhibitor or angiotensin II receptor blocker therapy.
Is M1201 covered by insurance?
M1201 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Quality measure exclusion documenting medical contraindication to ACE inhibitors or angiotensin II receptor blockers such as hyperkalemia or severe renal impairment.
When is CPT M1201 used?
Quality measure exclusion documenting medical contraindication to ACE inhibitors or angiotensin II receptor blockers such as hyperkalemia or severe renal impairment.
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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.