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M1316 Tobacco non-user

M Codes

Also known as: tobacco non-user, never smoker, non-smoker status

Patient with documented tobacco non-user status. Confirms patient does not use any tobacco products.

In Plain Language

doesn't smoke; no tobacco use

Clinical Context

Quality measure documenting confirmed tobacco non-user status for patients who have never used or have successfully quit tobacco.

RVU Information

CPT M1316 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

Primary CareInternal MedicinePreventive Medicine

Frequently Asked Questions

What is CPT code M1316?

CPT M1316 (Tobacco non-user) is a M Codes code. Patient with documented tobacco non-user status. Confirms patient does not use any tobacco products.

Is M1316 covered by insurance?

M1316 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Quality measure documenting confirmed tobacco non-user status for patients who have never used or have successfully quit tobacco.

When is CPT M1316 used?

Quality measure documenting confirmed tobacco non-user status for patients who have never used or have successfully quit tobacco.

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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.