M1281 Bp screening no perf at interval
Also known as: BP screening missed, BP not checked, hypertension screening gap
Blood pressure screening not performed at recommended interval. Documents failure to complete blood pressure measurement at appropriate screening intervals.
In Plain Language
blood pressure not checked; missed BP screening
Clinical Context
Quality measure identifying gaps in preventive care where appropriate blood pressure screening was not performed per clinical guidelines.
RVU Information
CPT M1281 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 M1281?
CPT M1281 (Bp screening no perf at interval) is a M Codes code. Blood pressure screening not performed at recommended interval. Documents failure to complete blood pressure measurement at appropriate screening intervals.
Is M1281 covered by insurance?
M1281 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Quality measure identifying gaps in preventive care where appropriate blood pressure screening was not performed per clinical guidelines.
When is CPT M1281 used?
Quality measure identifying gaps in preventive care where appropriate blood pressure screening was not performed per clinical guidelines.
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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.