M1266 Pts admit snf
Also known as: SNF admission, skilled nursing care
Patient admitted to skilled nursing facility during measurement period.
In Plain Language
Admitted to nursing home; Skilled nursing facility stay
Clinical Context
Quality measure stratifier documenting skilled nursing facility admission for care coordination and outcomes tracking.
RVU Information
CPT M1266 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 M1266?
CPT M1266 (Pts admit snf) is a M Codes code. Patient admitted to skilled nursing facility during measurement period.
Is M1266 covered by insurance?
M1266 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Quality measure stratifier documenting skilled nursing facility admission for care coordination and outcomes tracking.
When is CPT M1266 used?
Quality measure stratifier documenting skilled nursing facility admission for care coordination and outcomes tracking.
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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.