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M1322 Pts 7wk injection, screening iop =<25

M Codes

Also known as: glaucoma exam done IOP normal, eye exam IOP <25, glaucoma monitoring normal

Patient with eye examination in prior 7 weeks with intraocular pressure screened at 25 millimeters of mercury or less. Documents appropriate glaucoma screening with normal pressure.

In Plain Language

eye pressure checked and normal; glaucoma test ok

Clinical Context

Ophthalmology quality measure documenting appropriate glaucoma monitoring with recent eye examination and normal intraocular pressure (IOP ≤25 mmHg).

RVU Information

CPT M1322 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

OphthalmologyPrimary Care

Frequently Asked Questions

What is CPT code M1322?

CPT M1322 (Pts 7wk injection, screening iop =<25) is a M Codes code. Patient with eye examination in prior 7 weeks with intraocular pressure screened at 25 millimeters of mercury or less. Documents appropriate glaucoma screening with normal pressure.

Is M1322 covered by insurance?

M1322 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Ophthalmology quality measure documenting appropriate glaucoma monitoring with recent eye examination and normal intraocular pressure (IOP ≤25 mmHg).

When is CPT M1322 used?

Ophthalmology quality measure documenting appropriate glaucoma monitoring with recent eye examination and normal intraocular pressure (IOP ≤25 mmHg).

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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.