M1298 Doc pt preg dur msrmt pd
Also known as: pregnant patient, pregnancy documented, maternity exclusion
Documented that patient is pregnant during the measurement period. Records pregnancy status as exclusion criterion for certain quality measures.
In Plain Language
patient is pregnant; expecting
Clinical Context
Quality measure exclusion identifying pregnant patients who may be ineligible for certain medications or screening measures due to pregnancy.
RVU Information
CPT M1298 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 M1298?
CPT M1298 (Doc pt preg dur msrmt pd) is a M Codes code. Documented that patient is pregnant during the measurement period. Records pregnancy status as exclusion criterion for certain quality measures.
Is M1298 covered by insurance?
M1298 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Quality measure exclusion identifying pregnant patients who may be ineligible for certain medications or screening measures due to pregnancy.
When is CPT M1298 used?
Quality measure exclusion identifying pregnant patients who may be ineligible for certain medications or screening measures due to pregnancy.
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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.