M1336 Pts evaluation ini xm 2 wks
Also known as: eye exam within 2 weeks, urgent retinal exam done, acute retinal evaluation
Patients with initial eye examination within 2 weeks. Documents appropriate urgent completion of retinal evaluation.
In Plain Language
eye doctor visit quickly; urgent retinal checkup completed
Clinical Context
Ophthalmology quality measure documenting timely completion of urgent retinal examination within 2-week window for acute retinal conditions.
RVU Information
CPT M1336 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 M1336?
CPT M1336 (Pts evaluation ini xm 2 wks) is a M Codes code. Patients with initial eye examination within 2 weeks. Documents appropriate urgent completion of retinal evaluation.
Is M1336 covered by insurance?
M1336 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Ophthalmology quality measure documenting timely completion of urgent retinal examination within 2-week window for acute retinal conditions.
When is CPT M1336 used?
Ophthalmology quality measure documenting timely completion of urgent retinal examination within 2-week window for acute retinal conditions.
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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.