M1257 Cvd risk assess not perf
Also known as: no CVD risk screening, missing cardiovascular risk evaluation
Cardiovascular disease risk assessment not performed during measurement period.
In Plain Language
Heart disease risk not checked; No cardiovascular screening done
Clinical Context
Cardiovascular quality measure denominator tracking patients without documented cardiovascular disease risk assessment.
RVU Information
CPT M1257 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 M1257?
CPT M1257 (Cvd risk assess not perf) is a M Codes code. Cardiovascular disease risk assessment not performed during measurement period.
Is M1257 covered by insurance?
M1257 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Cardiovascular quality measure denominator tracking patients without documented cardiovascular disease risk assessment.
When is CPT M1257 used?
Cardiovascular quality measure denominator tracking patients without documented cardiovascular disease risk assessment.
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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.