M1332 Pts no evaluation ini xm no 2 wks
Also known as: no eye exam 2 weeks, urgent retinal exam overdue, retinal evaluation missed
Patients with no eye evaluation or initial examination within 2 weeks. Documents significant gaps in urgent retinal condition monitoring.
In Plain Language
eye doctor visit very overdue; no eye checkup in 2 weeks
Clinical Context
Ophthalmology quality measure identifying patients with acute retinal conditions who are significantly overdue for urgent eye examination.
RVU Information
CPT M1332 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 M1332?
CPT M1332 (Pts no evaluation ini xm no 2 wks) is a M Codes code. Patients with no eye evaluation or initial examination within 2 weeks. Documents significant gaps in urgent retinal condition monitoring.
Is M1332 covered by insurance?
M1332 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Ophthalmology quality measure identifying patients with acute retinal conditions who are significantly overdue for urgent eye examination.
When is CPT M1332 used?
Ophthalmology quality measure identifying patients with acute retinal conditions who are significantly overdue for urgent eye examination.
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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.