M1227 Eb therapy prescribed
Also known as: guideline-concordant treatment, evidence-based medication prescribed
Evidence-based therapy prescribed for patient during measurement period.
In Plain Language
Recommended treatment prescribed; Standard-of-care therapy given
Clinical Context
Quality measure documenting prescription of therapies with strong evidence base according to clinical practice guidelines.
RVU Information
CPT M1227 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 M1227?
CPT M1227 (Eb therapy prescribed) is a M Codes code. Evidence-based therapy prescribed for patient during measurement period.
Is M1227 covered by insurance?
M1227 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Quality measure documenting prescription of therapies with strong evidence base according to clinical practice guidelines.
When is CPT M1227 used?
Quality measure documenting prescription of therapies with strong evidence base according to clinical practice guidelines.
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.