M1290 Pt not eli d/t act dig htn
Also known as: active hypertension management, HTN exclusion, established hypertension
Patient not eligible due to active diagnosis or current treatment of hypertension. Documents patients with established hypertension being actively managed.
In Plain Language
patient is being treated for high blood pressure; already on blood pressure medication
Clinical Context
Quality measure criterion identifying patients with diagnosed hypertension already receiving active treatment, thus excluded from new diagnosis criteria.
RVU Information
CPT M1290 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 M1290?
CPT M1290 (Pt not eli d/t act dig htn) is a M Codes code. Patient not eligible due to active diagnosis or current treatment of hypertension. Documents patients with established hypertension being actively managed.
Is M1290 covered by insurance?
M1290 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Quality measure criterion identifying patients with diagnosed hypertension already receiving active treatment, thus excluded from new diagnosis criteria.
When is CPT M1290 used?
Quality measure criterion identifying patients with diagnosed hypertension already receiving active treatment, thus excluded from new diagnosis criteria.
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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.