M1278 Pre-htn or htn doc, follow-up indc
Also known as: hypertension documented, BP elevation with plan, elevated BP follow-up
Pre-hypertension or hypertension documented with follow-up indicated. Confirms blood pressure abnormality documentation and appropriate clinical follow-up plan established.
In Plain Language
high blood pressure diagnosis; elevated pressure with follow-up
Clinical Context
Quality measure documenting identification of hypertension or pre-hypertension and establishment of appropriate management plan including patient education and follow-up.
RVU Information
CPT M1278 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 M1278?
CPT M1278 (Pre-htn or htn doc, follow-up indc) is a M Codes code. Pre-hypertension or hypertension documented with follow-up indicated. Confirms blood pressure abnormality documentation and appropriate clinical follow-up plan established.
Is M1278 covered by insurance?
M1278 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Quality measure documenting identification of hypertension or pre-hypertension and establishment of appropriate management plan including patient education and follow-up.
When is CPT M1278 used?
Quality measure documenting identification of hypertension or pre-hypertension and establishment of appropriate management plan including patient education and follow-up.
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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.