M1330 Doc pts rsn no follow-up xm
Also known as: documented no follow-up reason, retinal exam exception, documented follow-up delay
Documented reason for no follow-up eye examination. Records valid clinical reasons explaining delayed or missed retinal follow-up.
In Plain Language
good reason for not coming back to eye doctor; documented why no follow-up
Clinical Context
Ophthalmology quality measure exception documenting medical or logistical reasons for not completing recommended retinal follow-up examinations.
RVU Information
CPT M1330 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 M1330?
CPT M1330 (Doc pts rsn no follow-up xm) is a M Codes code. Documented reason for no follow-up eye examination. Records valid clinical reasons explaining delayed or missed retinal follow-up.
Is M1330 covered by insurance?
M1330 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Ophthalmology quality measure exception documenting medical or logistical reasons for not completing recommended retinal follow-up examinations.
When is CPT M1330 used?
Ophthalmology quality measure exception documenting medical or logistical reasons for not completing recommended retinal follow-up examinations.
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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.