M1427 Doc medial rsn bone scn
Also known as: no bone scan reason, bone imaging exception, doc med rsn bone scn
Performance measure documenting medical reason for not ordering or performing a bone scan. Captures appropriate exceptions to imaging studies.
In Plain Language
Doctor's reason for skipping bone scan; Medical exception to bone imaging
Clinical Context
Documents medical contraindications to bone imaging such as recent prior imaging, contraindications to radiopharmaceutical, or clinical judgment.
RVU Information
CPT M1427 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 M1427?
CPT M1427 (Doc medial rsn bone scn) is a M Codes code. Performance measure documenting medical reason for not ordering or performing a bone scan. Captures appropriate exceptions to imaging studies.
Is M1427 covered by insurance?
M1427 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Documents medical contraindications to bone imaging such as recent prior imaging, contraindications to radiopharmaceutical, or clinical judgment.
When is CPT M1427 used?
Documents medical contraindications to bone imaging such as recent prior imaging, contraindications to radiopharmaceutical, or clinical judgment.
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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.