M1216 No spiro doc no res doc
Also known as: spirometry not performed or documented, missing COPD diagnostic testing
Spirometry test results not documented and results not documented on medical record.
In Plain Language
Lung function test not done or recorded; Missing COPD testing
Clinical Context
Quality measure denominator tracking COPD patients without appropriate spirometry documentation for diagnostic confirmation.
RVU Information
CPT M1216 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 M1216?
CPT M1216 (No spiro doc no res doc) is a M Codes code. Spirometry test results not documented and results not documented on medical record.
Is M1216 covered by insurance?
M1216 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Quality measure denominator tracking COPD patients without appropriate spirometry documentation for diagnostic confirmation.
When is CPT M1216 used?
Quality measure denominator tracking COPD patients without appropriate spirometry documentation for diagnostic confirmation.
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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.