M1429 Retinopathy in od, os, ou
Also known as: retinopathy documented, retinal disease present, diabetic retinopathy
Performance measure documenting presence of retinopathy in one eye (oculus dexter), the other eye (oculus sinister), or both eyes (oculus uterque). Captures diabetic and other retinal disease.
In Plain Language
Eye blood vessel disease; Retinal damage from diabetes or other disease
Clinical Context
Documents presence of diabetic retinopathy, hypertensive retinopathy, or other retinal disease in either or both eyes. Important for diabetes care quality measures.
RVU Information
CPT M1429 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 M1429?
CPT M1429 (Retinopathy in od, os, ou) is a M Codes code. Performance measure documenting presence of retinopathy in one eye (oculus dexter), the other eye (oculus sinister), or both eyes (oculus uterque). Captures diabetic and other retinal disease.
Is M1429 covered by insurance?
M1429 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Documents presence of diabetic retinopathy, hypertensive retinopathy, or other retinal disease in either or both eyes. Important for diabetes care quality measures.
When is CPT M1429 used?
Documents presence of diabetic retinopathy, hypertensive retinopathy, or other retinal disease in either or both eyes. Important for diabetes care quality measures.
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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.