M1401 Stg i-iii br ca
Also known as: Stage I-III breast cancer, early breast cancer diagnosis, stg i-iii br ca
Performance measure documenting diagnosis of Stage I-III breast cancer. Captures invasive and non-invasive breast malignancies excluding advanced disease.
In Plain Language
Early stage breast cancer; Localized to regional breast cancer
Clinical Context
Identifies patients diagnosed with Stage I-III breast cancer. Used as denominator for hormone therapy and treatment quality measures.
RVU Information
CPT M1401 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 M1401?
CPT M1401 (Stg i-iii br ca) is a M Codes code. Performance measure documenting diagnosis of Stage I-III breast cancer. Captures invasive and non-invasive breast malignancies excluding advanced disease.
Is M1401 covered by insurance?
M1401 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Identifies patients diagnosed with Stage I-III breast cancer. Used as denominator for hormone therapy and treatment quality measures.
When is CPT M1401 used?
Identifies patients diagnosed with Stage I-III breast cancer. Used as denominator for hormone therapy and treatment quality measures.
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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.