M1409 Recd gmln brca1/brca2 couns
Also known as: BRCA genetic counseling, hereditary cancer counseling, recd gmln brca couns
Performance measure documenting that patient received germline BRCA1 or BRCA2 genetic counseling before or after cancer diagnosis. Tracks genetic counseling access.
In Plain Language
Discussion about inherited cancer risk genes; Genetic counselor consultation
Clinical Context
Documents appropriate genetic counseling for BRCA testing and implications in breast cancer patients. Standard of care for eligible patients.
RVU Information
CPT M1409 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 M1409?
CPT M1409 (Recd gmln brca1/brca2 couns) is a M Codes code. Performance measure documenting that patient received germline BRCA1 or BRCA2 genetic counseling before or after cancer diagnosis. Tracks genetic counseling access.
Is M1409 covered by insurance?
M1409 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Documents appropriate genetic counseling for BRCA testing and implications in breast cancer patients. Standard of care for eligible patients.
When is CPT M1409 used?
Documents appropriate genetic counseling for BRCA testing and implications in breast cancer patients. Standard of care for eligible patients.
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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.