M1293 Calc bmi abv up param follow-up
Also known as: BMI elevated, overweight documented, high BMI with follow-up
Body Mass Index calculated as above normal parameters with follow-up documented. Confirms elevated weight status with appropriate clinical follow-up initiated.
In Plain Language
weight too high; overweight with action
Clinical Context
Preventive care measure documenting identification of overweight/obese patients (BMI ≥25) with documented follow-up counseling on nutrition and exercise.
RVU Information
CPT M1293 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 M1293?
CPT M1293 (Calc bmi abv up param follow-up) is a M Codes code. Body Mass Index calculated as above normal parameters with follow-up documented. Confirms elevated weight status with appropriate clinical follow-up initiated.
Is M1293 covered by insurance?
M1293 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Preventive care measure documenting identification of overweight/obese patients (BMI ≥25) with documented follow-up counseling on nutrition and exercise.
When is CPT M1293 used?
Preventive care measure documenting identification of overweight/obese patients (BMI ≥25) with documented follow-up counseling on nutrition and exercise.
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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.