M1416 Pt rec hosp
Also known as: hospitalization occurred, hospital admission, pt rec hosp
Performance measure documenting patient received hospitalization during the measurement period. Identifies acute care utilization.
In Plain Language
Patient stayed overnight in hospital; Hospital admission occurred
Clinical Context
Captures hospital admissions during measurement period for tracking acute utilization, comorbidities, or disease severity.
RVU Information
CPT M1416 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 M1416?
CPT M1416 (Pt rec hosp) is a M Codes code. Performance measure documenting patient received hospitalization during the measurement period. Identifies acute care utilization.
Is M1416 covered by insurance?
M1416 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Captures hospital admissions during measurement period for tracking acute utilization, comorbidities, or disease severity.
When is CPT M1416 used?
Captures hospital admissions during measurement period for tracking acute utilization, comorbidities, or disease severity.
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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.