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M1307 Doc pt pal or hospice

M Codes

Also known as: palliative care documented, hospice enrollment, comfort care documented

Documented that patient is receiving palliative care or hospice services. Records patients enrolled in comfort-focused care.

In Plain Language

receiving comfort care; hospice enrolled

Clinical Context

Quality measure criterion identifying patients receiving palliative or hospice care, often serving as appropriate exclusion for measures focused on curative interventions.

RVU Information

CPT M1307 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

Palliative CareOncologyInternal Medicine

Frequently Asked Questions

What is CPT code M1307?

CPT M1307 (Doc pt pal or hospice) is a M Codes code. Documented that patient is receiving palliative care or hospice services. Records patients enrolled in comfort-focused care.

Is M1307 covered by insurance?

M1307 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Quality measure criterion identifying patients receiving palliative or hospice care, often serving as appropriate exclusion for measures focused on curative interventions.

When is CPT M1307 used?

Quality measure criterion identifying patients receiving palliative or hospice care, often serving as appropriate exclusion for measures focused on curative interventions.

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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.