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M1239 Pt no resp heard

M Codes

Also known as: patient non-responsiveness, lack of engagement

Patient demonstrates lack of responsiveness or is not heard by healthcare provider.

In Plain Language

Patient not responding to provider; Patient does not acknowledge

Clinical Context

Person-centered care quality measure documenting patient's perception of not being heard by healthcare team.

RVU Information

CPT M1239 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

Primary CareBehavioral HealthPatient Experience

Frequently Asked Questions

What is CPT code M1239?

CPT M1239 (Pt no resp heard) is a M Codes code. Patient demonstrates lack of responsiveness or is not heard by healthcare provider.

Is M1239 covered by insurance?

M1239 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Person-centered care quality measure documenting patient's perception of not being heard by healthcare team.

When is CPT M1239 used?

Person-centered care quality measure documenting patient's perception of not being heard by healthcare team.

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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.