M1403 Bslne and fu promis doc
Also known as: PROMIS assessment, patient-reported outcomes, bslne and fu promis doc
Performance measure documenting baseline and follow-up Patient-Reported Outcomes Measurement Information System (PROMIS) documentation. Tracks patient-reported symptom burden.
In Plain Language
Patient symptom and quality of life survey; Health outcome questionnaire
Clinical Context
Tracks use of standardized PROMIS instruments at baseline and follow-up to monitor patient-reported health outcomes during hormone therapy for breast cancer.
RVU Information
CPT M1403 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 M1403?
CPT M1403 (Bslne and fu promis doc) is a M Codes code. Performance measure documenting baseline and follow-up Patient-Reported Outcomes Measurement Information System (PROMIS) documentation. Tracks patient-reported symptom burden.
Is M1403 covered by insurance?
M1403 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Tracks use of standardized PROMIS instruments at baseline and follow-up to monitor patient-reported health outcomes during hormone therapy for breast cancer.
When is CPT M1403 used?
Tracks use of standardized PROMIS instruments at baseline and follow-up to monitor patient-reported health outcomes during hormone therapy for breast cancer.
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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.