M1212 Missing gsa not perf
Also known as: no HbA1c testing, missing diabetes monitoring
Glycated hemoglobin (HbA1c) testing not performed during measurement period.
In Plain Language
Diabetes test not done; Did not check long-term blood sugar
Clinical Context
Quality measure denominator tracking diabetic patients without HbA1c testing, indicating inadequate diabetes monitoring.
RVU Information
CPT M1212 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 M1212?
CPT M1212 (Missing gsa not perf) is a M Codes code. Glycated hemoglobin (HbA1c) testing not performed during measurement period.
Is M1212 covered by insurance?
M1212 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Quality measure denominator tracking diabetic patients without HbA1c testing, indicating inadequate diabetes monitoring.
When is CPT M1212 used?
Quality measure denominator tracking diabetic patients without HbA1c testing, indicating inadequate diabetes monitoring.
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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.