M1285 Screening mam perf rslts not doc
Also known as: mammogram no documentation, mammography results missing, incomplete mammography record
Screening mammography performed with results not documented. Documents mammography completion without documented results in patient record.
In Plain Language
breast cancer screening test done; mammogram test not recorded
Clinical Context
Quality measure identifying gaps in cancer screening documentation where test was performed but results were not properly documented in the medical record.
RVU Information
CPT M1285 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 M1285?
CPT M1285 (Screening mam perf rslts not doc) is a M Codes code. Screening mammography performed with results not documented. Documents mammography completion without documented results in patient record.
Is M1285 covered by insurance?
M1285 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Quality measure identifying gaps in cancer screening documentation where test was performed but results were not properly documented in the medical record.
When is CPT M1285 used?
Quality measure identifying gaps in cancer screening documentation where test was performed but results were not properly documented in the medical record.
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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.