M1374 Ra diagnosis enc 90 days dur per pd
Also known as: RA diagnostic encounter, rheumatoid arthritis visit, RA 90-day encounter
Performance measure documenting a rheumatoid arthritis diagnostic encounter within a 90-day measurement period. Tracks continuity of rheumatology or primary care follow-up for disease management.
In Plain Language
Rheumatoid arthritis checkup; Joint disease follow-up visit
Clinical Context
Monitors whether patients with rheumatoid arthritis receive appropriate diagnostic and management encounters. Essential for disease control and preventing complications.
RVU Information
CPT M1374 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 M1374?
CPT M1374 (Ra diagnosis enc 90 days dur per pd) is a M Codes code. Performance measure documenting a rheumatoid arthritis diagnostic encounter within a 90-day measurement period. Tracks continuity of rheumatology or primary care follow-up for disease management.
Is M1374 covered by insurance?
M1374 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Monitors whether patients with rheumatoid arthritis receive appropriate diagnostic and management encounters. Essential for disease control and preventing complications.
When is CPT M1374 used?
Monitors whether patients with rheumatoid arthritis receive appropriate diagnostic and management encounters. Essential for disease control and preventing complications.
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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.