M1225 Iop dec>=20% from base
Also known as: adequate IOP reduction, adequate glaucoma control
Intraocular pressure decreased 20 percent or greater from baseline during measurement period.
In Plain Language
Eye pressure lowered significantly; Good glaucoma treatment response
Clinical Context
Quality measure numerator documenting clinically meaningful intraocular pressure reduction of at least 20 percent from baseline.
RVU Information
CPT M1225 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 M1225?
CPT M1225 (Iop dec>=20% from base) is a M Codes code. Intraocular pressure decreased 20 percent or greater from baseline during measurement period.
Is M1225 covered by insurance?
M1225 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Quality measure numerator documenting clinically meaningful intraocular pressure reduction of at least 20 percent from baseline.
When is CPT M1225 used?
Quality measure numerator documenting clinically meaningful intraocular pressure reduction of at least 20 percent from baseline.
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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.