M1385 Pt rsn not seen second pam
Also known as: PAM second visit not completed, physical activity measure exclusion, pt not seen PAM
Performance measure documenting that the patient had a reason not to be seen for a second Physical Activity Measure (PAM). Documents denominator exclusion for second assessment.
In Plain Language
Patient missed follow-up physical activity assessment; Reason for skipping repeat activity screening
Clinical Context
Documents appropriate exclusion reasons for patients not returning for repeat physical activity measures. Important for quality reporting accuracy.
RVU Information
CPT M1385 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 M1385?
CPT M1385 (Pt rsn not seen second pam) is a M Codes code. Performance measure documenting that the patient had a reason not to be seen for a second Physical Activity Measure (PAM). Documents denominator exclusion for second assessment.
Is M1385 covered by insurance?
M1385 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Documents appropriate exclusion reasons for patients not returning for repeat physical activity measures. Important for quality reporting accuracy.
When is CPT M1385 used?
Documents appropriate exclusion reasons for patients not returning for repeat physical activity measures. Important for quality reporting accuracy.
Track This Code in RVU Edge
Log procedures, calculate wRVUs, and benchmark against national data — all in one app.
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.