M1259 Pt stat doc <= 1 yr dialysis
Also known as: recent dialysis initiation, new dialysis patient
Patient status documented as less than or equal to 1 year on dialysis at any time during measurement period.
In Plain Language
Recently started kidney dialysis; On dialysis less than one year
Clinical Context
Renal quality measure stratifier identifying newer dialysis patients with different health trajectories and outcomes than long-term dialysis patients.
RVU Information
CPT M1259 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 M1259?
CPT M1259 (Pt stat doc <= 1 yr dialysis) is a M Codes code. Patient status documented as less than or equal to 1 year on dialysis at any time during measurement period.
Is M1259 covered by insurance?
M1259 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Renal quality measure stratifier identifying newer dialysis patients with different health trajectories and outcomes than long-term dialysis patients.
When is CPT M1259 used?
Renal quality measure stratifier identifying newer dialysis patients with different health trajectories and outcomes than long-term dialysis patients.
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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.