M1369 Qualcare mental hlth/sud mvp
Also known as: mental health/SUD MVP, quality mental health care, substance use disorder care MVP
Performance measure indicating quality mental health and substance use disorder care coordination. This code represents the Measures Valued by Practices (MVP) category for mental health and substance abuse management.
In Plain Language
Mental health and addiction treatment quality; Substance abuse care coordination
Clinical Context
Tracks coordination of care for patients with mental health conditions and substance use disorders. Important for primary care providers managing comorbid behavioral health conditions.
RVU Information
CPT M1369 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 M1369?
CPT M1369 (Qualcare mental hlth/sud mvp) is a M Codes code. Performance measure indicating quality mental health and substance use disorder care coordination. This code represents the Measures Valued by Practices (MVP) category for mental health and substance abuse management.
Is M1369 covered by insurance?
M1369 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Tracks coordination of care for patients with mental health conditions and substance use disorders. Important for primary care providers managing comorbid behavioral health conditions.
When is CPT M1369 used?
Tracks coordination of care for patients with mental health conditions and substance use disorders. Important for primary care providers managing comorbid behavioral health conditions.
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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.