M1296 Calc bmi norm parameters
Also known as: BMI normal range, healthy weight documented, normal BMI
Body Mass Index calculated and documented as within normal parameters. Confirms appropriate weight assessment showing healthy BMI range (typically 18.5-24.9).
In Plain Language
healthy weight confirmed; weight in good range
Clinical Context
Preventive care quality measure documenting completion of BMI assessment with results showing patient is within healthy weight range.
RVU Information
CPT M1296 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 M1296?
CPT M1296 (Calc bmi norm parameters) is a M Codes code. Body Mass Index calculated and documented as within normal parameters. Confirms appropriate weight assessment showing healthy BMI range (typically 18.5-24.9).
Is M1296 covered by insurance?
M1296 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Preventive care quality measure documenting completion of BMI assessment with results showing patient is within healthy weight range.
When is CPT M1296 used?
Preventive care quality measure documenting completion of BMI assessment with results showing patient is within healthy weight range.
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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.