M1363 Pts no follow-up 120 dys
Also known as: no mental health follow-up, psychiatric follow-up missed, lost to follow-up
Patients without follow-up documentation within 120 days. Documents missed psychiatric follow-up assessment.
In Plain Language
didn't see doctor within 120 days
Clinical Context
Mental health quality measure identifying gaps in care where required 120-day follow-up for suicidal patients was not completed.
RVU Information
CPT M1363 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 M1363?
CPT M1363 (Pts no follow-up 120 dys) is a M Codes code. Patients without follow-up documentation within 120 days. Documents missed psychiatric follow-up assessment.
Is M1363 covered by insurance?
M1363 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Mental health quality measure identifying gaps in care where required 120-day follow-up for suicidal patients was not completed.
When is CPT M1363 used?
Mental health quality measure identifying gaps in care where required 120-day follow-up for suicidal patients was not completed.
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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.