M1279 Pre-htn/htn, no follow-up, not gvn
Also known as: HTN no follow-up, BP elevated untreated, hypertension not managed
Pre-hypertension or hypertension documented with no follow-up indicated and no patient counseling provided. Documents blood pressure elevation without appropriate management initiation.
In Plain Language
high blood pressure not treated; elevated pressure no action
Clinical Context
Quality measure identifying gaps in hypertension management where elevated blood pressure was documented but no treatment plan or follow-up was established.
RVU Information
CPT M1279 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 M1279?
CPT M1279 (Pre-htn/htn, no follow-up, not gvn) is a M Codes code. Pre-hypertension or hypertension documented with no follow-up indicated and no patient counseling provided. Documents blood pressure elevation without appropriate management initiation.
Is M1279 covered by insurance?
M1279 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Quality measure identifying gaps in hypertension management where elevated blood pressure was documented but no treatment plan or follow-up was established.
When is CPT M1279 used?
Quality measure identifying gaps in hypertension management where elevated blood pressure was documented but no treatment plan or follow-up was established.
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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.