M1261 Pts on wtlist bef dialysis
Also known as: pre-dialysis transplant listing, transplant candidate before dialysis
Patient was on kidney transplant waiting list before initiating dialysis.
In Plain Language
Registered for kidney transplant before dialysis; Transplant planning before kidney failure treatment
Clinical Context
Renal quality measure documenting proactive kidney transplant listing prior to dialysis initiation, indicating comprehensive end-stage renal disease planning.
RVU Information
CPT M1261 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 M1261?
CPT M1261 (Pts on wtlist bef dialysis) is a M Codes code. Patient was on kidney transplant waiting list before initiating dialysis.
Is M1261 covered by insurance?
M1261 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Renal quality measure documenting proactive kidney transplant listing prior to dialysis initiation, indicating comprehensive end-stage renal disease planning.
When is CPT M1261 used?
Renal quality measure documenting proactive kidney transplant listing prior to dialysis initiation, indicating comprehensive end-stage renal disease planning.
Track This Code in RVU Edge
Log procedures, calculate wRVUs, and benchmark against national data — all in one app.
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.