M1221 Dre without rtnopthy
Also known as: negative diabetic retinopathy screening, normal dilated eye exam
Dilated retinal eye examination documented without retinopathy.
In Plain Language
Eye exam normal, no diabetic damage; Healthy retinas on screening
Clinical Context
Quality measure documenting dilated retinal examination without evidence of diabetic or other retinopathy.
RVU Information
CPT M1221 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 M1221?
CPT M1221 (Dre without rtnopthy) is a M Codes code. Dilated retinal eye examination documented without retinopathy.
Is M1221 covered by insurance?
M1221 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Quality measure documenting dilated retinal examination without evidence of diabetic or other retinopathy.
When is CPT M1221 used?
Quality measure documenting dilated retinal examination without evidence of diabetic or other retinopathy.
Track This Code in RVU Edge
Log procedures, calculate wRVUs, and benchmark against national data — all in one app.
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.