M1378 Medial rsn no 10 yr fu colscope
Also known as: no colonoscopy medical reason, colonoscopy contraindication, screening exception documentation
Performance measure documenting medical reason why 10-year follow-up colonoscopy was not performed. Captures exceptions to screening guidelines due to clinical contraindications.
In Plain Language
Doctor's reason for skipping cancer screening; Medical exception to colonoscopy
Clinical Context
Documents medically appropriate exceptions to colorectal cancer screening, such as life expectancy <10 years, advanced age, or significant comorbidities precluding screening.
RVU Information
CPT M1378 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 M1378?
CPT M1378 (Medial rsn no 10 yr fu colscope) is a M Codes code. Performance measure documenting medical reason why 10-year follow-up colonoscopy was not performed. Captures exceptions to screening guidelines due to clinical contraindications.
Is M1378 covered by insurance?
M1378 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Documents medically appropriate exceptions to colorectal cancer screening, such as life expectancy <10 years, advanced age, or significant comorbidities precluding screening.
When is CPT M1378 used?
Documents medically appropriate exceptions to colorectal cancer screening, such as life expectancy <10 years, advanced age, or significant comorbidities precluding screening.
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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.