M1335 Doc pts rsn no follow-up xm
Also known as: documented acute exam exception, urgent follow-up documented excuse
Documented reason for no follow-up eye examination within 2-week window. Records exceptions for acute retinal condition monitoring.
In Plain Language
good reason for not seeing eye doctor urgently
Clinical Context
Ophthalmology quality measure exception documenting valid reasons for not completing urgent follow-up eye examination within critical 2-week window.
RVU Information
CPT M1335 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 M1335?
CPT M1335 (Doc pts rsn no follow-up xm) is a M Codes code. Documented reason for no follow-up eye examination within 2-week window. Records exceptions for acute retinal condition monitoring.
Is M1335 covered by insurance?
M1335 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Ophthalmology quality measure exception documenting valid reasons for not completing urgent follow-up eye examination within critical 2-week window.
When is CPT M1335 used?
Ophthalmology quality measure exception documenting valid reasons for not completing urgent follow-up eye examination within critical 2-week window.
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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.