M1318 Pts no csp doc contact
Also known as: no care plan contact documented, care coordination gap, support plan not documented
Patients without clinical support plan documented contact method. Documents lack of care coordination documentation.
In Plain Language
no care plan documented; how to reach for support not documented
Clinical Context
Quality measure identifying gaps in care coordination where no documented contact method or care plan was established.
RVU Information
CPT M1318 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 M1318?
CPT M1318 (Pts no csp doc contact) is a M Codes code. Patients without clinical support plan documented contact method. Documents lack of care coordination documentation.
Is M1318 covered by insurance?
M1318 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Quality measure identifying gaps in care coordination where no documented contact method or care plan was established.
When is CPT M1318 used?
Quality measure identifying gaps in care coordination where no documented contact method or care plan was established.
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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.