M1315 Crc no doc no rsn
Also known as: colorectal screening gap, CRC screening not done, no colon cancer screening
Colorectal cancer screening not documented with no documented reason. Documents gap in recommended cancer screening.
In Plain Language
colon cancer screening not done; no bowel cancer test
Clinical Context
Quality measure identifying gaps in preventive care where colorectal cancer screening was not completed in eligible patients.
RVU Information
CPT M1315 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 M1315?
CPT M1315 (Crc no doc no rsn) is a M Codes code. Colorectal cancer screening not documented with no documented reason. Documents gap in recommended cancer screening.
Is M1315 covered by insurance?
M1315 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Quality measure identifying gaps in preventive care where colorectal cancer screening was not completed in eligible patients.
When is CPT M1315 used?
Quality measure identifying gaps in preventive care where colorectal cancer screening was not completed in eligible patients.
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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.