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M1406 Pt lve prac

M Codes

Also known as: patient left practice, change of provider, pt lve prac

Performance measure documenting that the patient left the practice during the measurement period. Captures denominator exclusions for care transitions.

In Plain Language

Patient switched doctors; Patient left the medical practice

Clinical Context

Documents patient transitions out of practice during measurement period. Appropriate denominator exclusion for quality measures requiring longitudinal follow-up.

RVU Information

CPT M1406 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

Care ManagementPrimary CareAll Specialties

Frequently Asked Questions

What is CPT code M1406?

CPT M1406 (Pt lve prac) is a M Codes code. Performance measure documenting that the patient left the practice during the measurement period. Captures denominator exclusions for care transitions.

Is M1406 covered by insurance?

M1406 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Documents patient transitions out of practice during measurement period. Appropriate denominator exclusion for quality measures requiring longitudinal follow-up.

When is CPT M1406 used?

Documents patient transitions out of practice during measurement period. Appropriate denominator exclusion for quality measures requiring longitudinal follow-up.

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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.