M1297 Bmi not doc medrsn ptref
Also known as: BMI not done exception, documented BMI exclusion, BMI not feasible
Body Mass Index not documented with documented medical reason or patient refusal. Records valid exceptions for incomplete BMI assessment.
In Plain Language
weight not measured for good reason; BMI couldn't be checked
Clinical Context
Quality measure exception allowing documentation of medical contraindications (acute illness, inability to stand) or patient refusal for BMI measurement.
RVU Information
CPT M1297 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 M1297?
CPT M1297 (Bmi not doc medrsn ptref) is a M Codes code. Body Mass Index not documented with documented medical reason or patient refusal. Records valid exceptions for incomplete BMI assessment.
Is M1297 covered by insurance?
M1297 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Quality measure exception allowing documentation of medical contraindications (acute illness, inability to stand) or patient refusal for BMI measurement.
When is CPT M1297 used?
Quality measure exception allowing documentation of medical contraindications (acute illness, inability to stand) or patient refusal for BMI measurement.
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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.