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M1273 Pts snf 1 yr dialysis

M Codes

Also known as: SNF dialysis patient, nursing home dialysis, facility-based renal care

Patient admitted to skilled nursing facility (SNF) for one year of dialysis treatment. Documents nursing home placement for ESRD patients requiring intensive long-term renal replacement therapy.

In Plain Language

nursing home kidney care; assisted living dialysis

Clinical Context

Identifies ESRD patients in facility settings receiving dialysis, important for quality assessment of facility-based nephrology care and appropriate management protocols.

RVU Information

CPT M1273 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

NephrologyGeriatricsInternal Medicine

Frequently Asked Questions

What is CPT code M1273?

CPT M1273 (Pts snf 1 yr dialysis) is a M Codes code. Patient admitted to skilled nursing facility (SNF) for one year of dialysis treatment. Documents nursing home placement for ESRD patients requiring intensive long-term renal replacement therapy.

Is M1273 covered by insurance?

M1273 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Identifies ESRD patients in facility settings receiving dialysis, important for quality assessment of facility-based nephrology care and appropriate management protocols.

When is CPT M1273 used?

Identifies ESRD patients in facility settings receiving dialysis, important for quality assessment of facility-based nephrology care and appropriate management protocols.

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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.