M1255 Pts with othr rsn vst,+prg tst
Also known as: incidental pregnancy discovery, pregnancy test positive
Patient had other reason for visit and positive pregnancy test documented.
In Plain Language
Pregnant during healthcare visit; Unexpected positive pregnancy test
Clinical Context
Quality measure documenting incidental discovery of pregnancy during visit for other medical purposes.
RVU Information
CPT M1255 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 M1255?
CPT M1255 (Pts with othr rsn vst,+prg tst) is a M Codes code. Patient had other reason for visit and positive pregnancy test documented.
Is M1255 covered by insurance?
M1255 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Quality measure documenting incidental discovery of pregnancy during visit for other medical purposes.
When is CPT M1255 used?
Quality measure documenting incidental discovery of pregnancy during visit for other medical purposes.
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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.