M1271 Pts dem any time/dur mo
Also known as: patient episode, disease prevalence, condition documentation
Patient with a documented incident or prevalent episode during any time or duration within the measurement month. Used to identify patients with diagnosed conditions requiring monitoring or treatment.
In Plain Language
patient has condition; disease status
Clinical Context
General ESRD quality measure indicator documenting that a patient had the disease or condition at any point during the measurement month.
RVU Information
CPT M1271 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 M1271?
CPT M1271 (Pts dem any time/dur mo) is a M Codes code. Patient with a documented incident or prevalent episode during any time or duration within the measurement month. Used to identify patients with diagnosed conditions requiring monitoring or treatment.
Is M1271 covered by insurance?
M1271 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. General ESRD quality measure indicator documenting that a patient had the disease or condition at any point during the measurement month.
When is CPT M1271 used?
General ESRD quality measure indicator documenting that a patient had the disease or condition at any point during the measurement month.
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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.