M1321 Pts no 7wk inj,no iop,iop>25
Also known as: no glaucoma screening, high eye pressure, IOP >25 or not checked
Patient with no eye injection in prior 7 weeks, no intraocular pressure documented, or intraocular pressure greater than 25 mmHg. Documents glaucoma screening gap or elevated pressure.
In Plain Language
eye pressure not checked or high; no glaucoma test
Clinical Context
Ophthalmology quality measure identifying patients with inadequate glaucoma monitoring or elevated intraocular pressure requiring intervention.
RVU Information
CPT M1321 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 M1321?
CPT M1321 (Pts no 7wk inj,no iop,iop>25) is a M Codes code. Patient with no eye injection in prior 7 weeks, no intraocular pressure documented, or intraocular pressure greater than 25 mmHg. Documents glaucoma screening gap or elevated pressure.
Is M1321 covered by insurance?
M1321 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Ophthalmology quality measure identifying patients with inadequate glaucoma monitoring or elevated intraocular pressure requiring intervention.
When is CPT M1321 used?
Ophthalmology quality measure identifying patients with inadequate glaucoma monitoring or elevated intraocular pressure requiring intervention.
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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.