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M1270 Pts no kid transplt wtlst

M Codes

Also known as: not transplant candidate, transplant ineligible, no transplant list

Patient with no kidney transplant on waiting list. Documents ESRD patients who are not candidates for kidney transplantation or have chosen not to pursue transplant.

In Plain Language

not eligible for transplant; dialysis-only patient

Clinical Context

Used to identify ESRD patients who remain on dialysis without transplant as an option due to medical contraindications, age, comorbidities, or patient preference.

RVU Information

CPT M1270 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

NephrologyInternal MedicinePalliative Care

Frequently Asked Questions

What is CPT code M1270?

CPT M1270 (Pts no kid transplt wtlst) is a M Codes code. Patient with no kidney transplant on waiting list. Documents ESRD patients who are not candidates for kidney transplantation or have chosen not to pursue transplant.

Is M1270 covered by insurance?

M1270 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Used to identify ESRD patients who remain on dialysis without transplant as an option due to medical contraindications, age, comorbidities, or patient preference.

When is CPT M1270 used?

Used to identify ESRD patients who remain on dialysis without transplant as an option due to medical contraindications, age, comorbidities, or patient preference.

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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.