M1364 Ascvd risk >=20pct
Also known as: high ASCVD risk, coronary risk ≥20%, elevated cardiovascular risk
Atherosclerotic cardiovascular disease (ASCVD) risk 20 percent or greater. Documents patient with significant coronary artery disease risk.
In Plain Language
heart disease risk 20% or higher; high heart attack/stroke risk
Clinical Context
Cardiovascular quality measure identifying patients with significant atherosclerotic disease risk requiring intensive preventive interventions.
RVU Information
CPT M1364 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 M1364?
CPT M1364 (Ascvd risk >=20pct) is a M Codes code. Atherosclerotic cardiovascular disease (ASCVD) risk 20 percent or greater. Documents patient with significant coronary artery disease risk.
Is M1364 covered by insurance?
M1364 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Cardiovascular quality measure identifying patients with significant atherosclerotic disease risk requiring intensive preventive interventions.
When is CPT M1364 used?
Cardiovascular quality measure identifying patients with significant atherosclerotic disease risk requiring intensive preventive interventions.
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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.