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M1294 Bp screening perf rec interval

M Codes

Also known as: BP screening done, hypertension screening completed, blood pressure assessed

Blood pressure screening performed at recommended interval. Documents completion of appropriate blood pressure measurement per clinical guidelines.

In Plain Language

blood pressure checked; hypertension screening performed

Clinical Context

Preventive health quality measure documenting completion of recommended blood pressure screening (typically annually or at each visit) in eligible patients.

RVU Information

CPT M1294 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

Primary CareInternal MedicinePreventive Medicine

Frequently Asked Questions

What is CPT code M1294?

CPT M1294 (Bp screening perf rec interval) is a M Codes code. Blood pressure screening performed at recommended interval. Documents completion of appropriate blood pressure measurement per clinical guidelines.

Is M1294 covered by insurance?

M1294 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Preventive health quality measure documenting completion of recommended blood pressure screening (typically annually or at each visit) in eligible patients.

When is CPT M1294 used?

Preventive health quality measure documenting completion of recommended blood pressure screening (typically annually or at each visit) in eligible patients.

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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.