M1317 Pts counsl cpt opt out
Also known as: CRC screening counseled opt out, colorectal screening patient decline, documented screening refusal
Patients counseled on colorectal cancer screening with documented patient choice to opt out. Documents shared decision-making with patient refusal.
In Plain Language
discussed colon cancer screening, patient refused; patient chose not to do screening
Clinical Context
Quality measure exception documenting that patient was counseled on colorectal cancer screening options but made informed decision to decline.
RVU Information
CPT M1317 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 M1317?
CPT M1317 (Pts counsl cpt opt out) is a M Codes code. Patients counseled on colorectal cancer screening with documented patient choice to opt out. Documents shared decision-making with patient refusal.
Is M1317 covered by insurance?
M1317 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Quality measure exception documenting that patient was counseled on colorectal cancer screening options but made informed decision to decline.
When is CPT M1317 used?
Quality measure exception documenting that patient was counseled on colorectal cancer screening options but made informed decision to decline.
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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.