M1343 Pt pam lvl 4 base or srt lin
Also known as: high PAM level, PAM level 4, activated patient
Patient at Patient Activation Measure (PAM) level 4 at baseline or intervention start. Documents patient with high activation and self-management capacity.
In Plain Language
patient very involved in own care; highly engaged in health
Clinical Context
Care management quality measure documenting baseline Patient Activation Measure indicating patient is highly engaged in self-management.
RVU Information
CPT M1343 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 M1343?
CPT M1343 (Pt pam lvl 4 base or srt lin) is a M Codes code. Patient at Patient Activation Measure (PAM) level 4 at baseline or intervention start. Documents patient with high activation and self-management capacity.
Is M1343 covered by insurance?
M1343 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Care management quality measure documenting baseline Patient Activation Measure indicating patient is highly engaged in self-management.
When is CPT M1343 used?
Care management quality measure documenting baseline Patient Activation Measure indicating patient is highly engaged in self-management.
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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.