M1288 Doc rsn no hbp screening or follow-up
Also known as: BP screening exception, documented HTN exclusion, BP measurement contraindicated
Documented reason for no blood pressure screening or follow-up. Records clinical, administrative, or patient-related reasons explaining lack of hypertension screening.
In Plain Language
reason not checked for high blood pressure; documented why BP not done
Clinical Context
Quality measure exception allowing documentation of valid reasons (e.g., advanced dementia, terminal illness, patient refusal) for not screening blood pressure.
RVU Information
CPT M1288 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 M1288?
CPT M1288 (Doc rsn no hbp screening or follow-up) is a M Codes code. Documented reason for no blood pressure screening or follow-up. Records clinical, administrative, or patient-related reasons explaining lack of hypertension screening.
Is M1288 covered by insurance?
M1288 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Quality measure exception allowing documentation of valid reasons (e.g., advanced dementia, terminal illness, patient refusal) for not screening blood pressure.
When is CPT M1288 used?
Quality measure exception allowing documentation of valid reasons (e.g., advanced dementia, terminal illness, patient refusal) for not screening blood pressure.
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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.