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M1272 Pts kid transplt wtlst

M Codes

Also known as: transplant recipient, kidney transplant patient, post-transplant

Patient with kidney transplant on waiting list. Documents ESRD patients who have a functioning kidney transplant and are considered for transplant candidacy.

In Plain Language

kidney transplant patient; transplant recipient

Clinical Context

Used in ESRD quality measures to identify and track patients who have received kidney transplantation and are no longer on dialysis.

RVU Information

CPT M1272 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

NephrologyTransplant SurgeryInternal Medicine

Frequently Asked Questions

What is CPT code M1272?

CPT M1272 (Pts kid transplt wtlst) is a M Codes code. Patient with kidney transplant on waiting list. Documents ESRD patients who have a functioning kidney transplant and are considered for transplant candidacy.

Is M1272 covered by insurance?

M1272 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Used in ESRD quality measures to identify and track patients who have received kidney transplantation and are no longer on dialysis.

When is CPT M1272 used?

Used in ESRD quality measures to identify and track patients who have received kidney transplantation and are no longer on dialysis.

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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.