M1295 Pt history tot col or colon ca
Also known as: history total colectomy, colorectal cancer history, post-colectomy
Patient with history of total colectomy or colorectal cancer. Documents patients with prior colorectal surgery or cancer diagnosis, excluding them from screening recommendations.
In Plain Language
colon removed history; had colon cancer before
Clinical Context
Quality measure exclusion criterion identifying patients with prior colorectal surgery or cancer who are not eligible for colorectal cancer screening recommendations.
RVU Information
CPT M1295 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 M1295?
CPT M1295 (Pt history tot col or colon ca) is a M Codes code. Patient with history of total colectomy or colorectal cancer. Documents patients with prior colorectal surgery or cancer diagnosis, excluding them from screening recommendations.
Is M1295 covered by insurance?
M1295 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Quality measure exclusion criterion identifying patients with prior colorectal surgery or cancer who are not eligible for colorectal cancer screening recommendations.
When is CPT M1295 used?
Quality measure exclusion criterion identifying patients with prior colorectal surgery or cancer who are not eligible for colorectal cancer screening recommendations.
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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.