M1215 Medial rsn for no doc spiro
Also known as: spirometry contraindication, medical exemption from pulmonary testing
Documented medical reason for not ordering or performing spirometry.
In Plain Language
Medical reason lung test not done; Valid reason for skipping spirometry
Clinical Context
Quality measure exclusion documenting medical contraindication to spirometry such as severe acute illness or inability to cooperate with testing.
RVU Information
CPT M1215 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 M1215?
CPT M1215 (Medial rsn for no doc spiro) is a M Codes code. Documented medical reason for not ordering or performing spirometry.
Is M1215 covered by insurance?
M1215 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Quality measure exclusion documenting medical contraindication to spirometry such as severe acute illness or inability to cooperate with testing.
When is CPT M1215 used?
Quality measure exclusion documenting medical contraindication to spirometry such as severe acute illness or inability to cooperate with testing.
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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.