M1346 No pam incision 6 pts 4-12 mo
Also known as: PAM no improvement, activation unchanged, PAM <6 point increase
No Patient Activation Measure increase of 6 points or greater in the 4-12 month period. Documents inadequate improvement in patient activation.
In Plain Language
patient engagement didn't improve much
Clinical Context
Care management quality measure identifying patients whose activation did not meaningfully improve over follow-up period.
RVU Information
CPT M1346 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 M1346?
CPT M1346 (No pam incision 6 pts 4-12 mo) is a M Codes code. No Patient Activation Measure increase of 6 points or greater in the 4-12 month period. Documents inadequate improvement in patient activation.
Is M1346 covered by insurance?
M1346 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Care management quality measure identifying patients whose activation did not meaningfully improve over follow-up period.
When is CPT M1346 used?
Care management quality measure identifying patients whose activation did not meaningfully improve over follow-up period.
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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.