M1349 No pam incision 3 pts 4-12 mo
Also known as: PAM minimal improvement, activation unchanged, PAM <3 point increase
No Patient Activation Measure increase of 3 points or greater in 4-12 month period. Documents minimal or no improvement in patient activation.
In Plain Language
patient engagement barely improved
Clinical Context
Care management quality measure identifying patients with minimal improvement in Patient Activation Measure during follow-up period.
RVU Information
CPT M1349 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 M1349?
CPT M1349 (No pam incision 3 pts 4-12 mo) is a M Codes code. No Patient Activation Measure increase of 3 points or greater in 4-12 month period. Documents minimal or no improvement in patient activation.
Is M1349 covered by insurance?
M1349 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Care management quality measure identifying patients with minimal improvement in Patient Activation Measure during follow-up period.
When is CPT M1349 used?
Care management quality measure identifying patients with minimal improvement in Patient Activation Measure during 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.