M1430 Ret exm ou no retinopthy doc
Also known as: retinal exam negative, no retinopathy found, ret exm ou no retinopthy
Performance measure documenting retinal examination performed in both eyes without finding of retinopathy. Tracks appropriate diabetes screening.
In Plain Language
Eye exam normal, no blood vessel damage; Retinal screening negative result
Clinical Context
Documents appropriate retinal screening for diabetes without evidence of diabetic retinopathy. Standard of care for diabetes quality measures.
RVU Information
CPT M1430 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 M1430?
CPT M1430 (Ret exm ou no retinopthy doc) is a M Codes code. Performance measure documenting retinal examination performed in both eyes without finding of retinopathy. Tracks appropriate diabetes screening.
Is M1430 covered by insurance?
M1430 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Documents appropriate retinal screening for diabetes without evidence of diabetic retinopathy. Standard of care for diabetes quality measures.
When is CPT M1430 used?
Documents appropriate retinal screening for diabetes without evidence of diabetic retinopathy. Standard of care for diabetes 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.