M1226 Iop not doc
Also known as: no IOP measurement, missing eye pressure documentation
Intraocular pressure not documented during measurement period.
In Plain Language
Eye pressure not measured; Missing glaucoma monitoring
Clinical Context
Quality measure denominator tracking glaucoma patients without intraocular pressure measurement, indicating inadequate glaucoma monitoring.
RVU Information
CPT M1226 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 M1226?
CPT M1226 (Iop not doc) is a M Codes code. Intraocular pressure not documented during measurement period.
Is M1226 covered by insurance?
M1226 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Quality measure denominator tracking glaucoma patients without intraocular pressure measurement, indicating inadequate glaucoma monitoring.
When is CPT M1226 used?
Quality measure denominator tracking glaucoma patients without intraocular pressure measurement, indicating inadequate glaucoma monitoring.
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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.