M1323 Pts 7wk injection, screening iop >25
Also known as: glaucoma exam high IOP, eye exam IOP >25, elevated eye pressure
Patient with eye examination in prior 7 weeks with intraocular pressure screened greater than 25 millimeters of mercury. Documents glaucoma monitoring with elevated pressure.
In Plain Language
eye pressure checked and high; glaucoma test abnormal
Clinical Context
Ophthalmology quality measure documenting appropriate screening but identifying patients with elevated intraocular pressure (IOP >25 mmHg) requiring treatment.
RVU Information
CPT M1323 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 M1323?
CPT M1323 (Pts 7wk injection, screening iop >25) is a M Codes code. Patient with eye examination in prior 7 weeks with intraocular pressure screened greater than 25 millimeters of mercury. Documents glaucoma monitoring with elevated pressure.
Is M1323 covered by insurance?
M1323 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Ophthalmology quality measure documenting appropriate screening but identifying patients with elevated intraocular pressure (IOP >25 mmHg) requiring treatment.
When is CPT M1323 used?
Ophthalmology quality measure documenting appropriate screening but identifying patients with elevated intraocular pressure (IOP >25 mmHg) requiring treatment.
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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.