M1286 Bmi doc onl fup not cmpltd
Also known as: BMI documented no follow-up, weight documented incomplete, BMI documented only
Body Mass Index documented only with follow-up not completed during measurement period. Records BMI documentation without appropriate clinical follow-up or intervention.
In Plain Language
weight measured no action; BMI checked not followed up
Clinical Context
Quality measure documenting gaps in weight management where BMI was assessed but no follow-up intervention or counseling was provided.
RVU Information
CPT M1286 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 M1286?
CPT M1286 (Bmi doc onl fup not cmpltd) is a M Codes code. Body Mass Index documented only with follow-up not completed during measurement period. Records BMI documentation without appropriate clinical follow-up or intervention.
Is M1286 covered by insurance?
M1286 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Quality measure documenting gaps in weight management where BMI was assessed but no follow-up intervention or counseling was provided.
When is CPT M1286 used?
Quality measure documenting gaps in weight management where BMI was assessed but no follow-up intervention or counseling was provided.
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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.