M1220 Dre wth interpretation rtnopthy
Also known as: diabetic retinopathy screening positive, dilated eye exam with retinopathy
Dilated retinal eye examination with interpretation showing retinopathy.
In Plain Language
Eye exam shows diabetic eye damage; Retinal damage from diabetes detected
Clinical Context
Quality measure documenting dilated retinal examination with documented interpretation confirming diabetic or other retinopathy.
RVU Information
CPT M1220 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 M1220?
CPT M1220 (Dre wth interpretation rtnopthy) is a M Codes code. Dilated retinal eye examination with interpretation showing retinopathy.
Is M1220 covered by insurance?
M1220 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Quality measure documenting dilated retinal examination with documented interpretation confirming diabetic or other retinopathy.
When is CPT M1220 used?
Quality measure documenting dilated retinal examination with documented interpretation confirming diabetic or other retinopathy.
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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.