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M1379 10 yr fu no rec rsn not giv

M Codes

Also known as: missed colonoscopy, no screening compliance, overdue colonoscopy

Performance measure documenting that 10-year follow-up colonoscopy was not received and no reason was given. Identifies patients who failed to comply with screening recommendations.

In Plain Language

Missed cancer screening appointment; Delayed or skipped colonoscopy

Clinical Context

Identifies patients who failed to return for recommended 10-year colonoscopy screening without documented medical reason. Signals need for outreach and re-engagement.

RVU Information

CPT M1379 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

GastroenterologyPrimary CareCare Management

Frequently Asked Questions

What is CPT code M1379?

CPT M1379 (10 yr fu no rec rsn not giv) is a M Codes code. Performance measure documenting that 10-year follow-up colonoscopy was not received and no reason was given. Identifies patients who failed to comply with screening recommendations.

Is M1379 covered by insurance?

M1379 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Identifies patients who failed to return for recommended 10-year colonoscopy screening without documented medical reason. Signals need for outreach and re-engagement.

When is CPT M1379 used?

Identifies patients who failed to return for recommended 10-year colonoscopy screening without documented medical reason. Signals need for outreach and re-engagement.

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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.