M1224 Iop dec <20% from base
Also known as: inadequate IOP reduction, suboptimal glaucoma control
Intraocular pressure decreased less than 20 percent from baseline during measurement period.
In Plain Language
Eye pressure lowered less than 20 percent; Inadequate glaucoma treatment response
Clinical Context
Quality measure tracking glaucoma therapy efficacy, identifying patients with suboptimal intraocular pressure reduction.
RVU Information
CPT M1224 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 M1224?
CPT M1224 (Iop dec <20% from base) is a M Codes code. Intraocular pressure decreased less than 20 percent from baseline during measurement period.
Is M1224 covered by insurance?
M1224 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Quality measure tracking glaucoma therapy efficacy, identifying patients with suboptimal intraocular pressure reduction.
When is CPT M1224 used?
Quality measure tracking glaucoma therapy efficacy, identifying patients with suboptimal intraocular pressure reduction.
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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.