M1260 Pt not doc <= 1 yr dialysis
Also known as: long-term dialysis patient, dialysis duration not documented
Patient status not documented as less than or equal to 1 year on dialysis during measurement period.
In Plain Language
On dialysis more than one year; Long-term dialysis patient
Clinical Context
Renal quality measure stratifier identifying established dialysis patients or those without dialysis duration documentation.
RVU Information
CPT M1260 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 M1260?
CPT M1260 (Pt not doc <= 1 yr dialysis) is a M Codes code. Patient status not documented as less than or equal to 1 year on dialysis during measurement period.
Is M1260 covered by insurance?
M1260 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Renal quality measure stratifier identifying established dialysis patients or those without dialysis duration documentation.
When is CPT M1260 used?
Renal quality measure stratifier identifying established dialysis patients or those without dialysis duration documentation.
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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.