M1449 Pt diagnosis scz/pys bef end msr pd
Also known as: schizophrenia diagnosis, psychotic disorder documented, pt dx scz/pys bef end
Performance measure documenting diagnosis of schizophrenia or psychotic disorder before the end of the measurement period. Captures serious mental illness.
In Plain Language
Schizophrenia or severe psychosis diagnosed; Serious mental illness documented
Clinical Context
Documents diagnosis of schizophrenia spectrum or psychotic disorder. Often represents denominator exclusion from depression and behavioral health measures.
RVU Information
CPT M1449 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 M1449?
CPT M1449 (Pt diagnosis scz/pys bef end msr pd) is a M Codes code. Performance measure documenting diagnosis of schizophrenia or psychotic disorder before the end of the measurement period. Captures serious mental illness.
Is M1449 covered by insurance?
M1449 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Documents diagnosis of schizophrenia spectrum or psychotic disorder. Often represents denominator exclusion from depression and behavioral health measures.
When is CPT M1449 used?
Documents diagnosis of schizophrenia spectrum or psychotic disorder. Often represents denominator exclusion from depression and behavioral health 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.