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M1459 Pt hosp/pal care dur perf pd

M Codes

Also known as: hospice/palliative care received, end-of-life care documented, pt hosp/pal care dur

Performance measure documenting patient received hospice or palliative care during the performance period. Captures end-of-life care.

In Plain Language

Comfort care and hospice services; End-of-life care received

Clinical Context

Documents patient receiving hospice or palliative care services. Appropriate denominator exclusion from disease-management measures.

RVU Information

CPT M1459 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

Palliative CareHospicePrimary Care

Frequently Asked Questions

What is CPT code M1459?

CPT M1459 (Pt hosp/pal care dur perf pd) is a M Codes code. Performance measure documenting patient received hospice or palliative care during the performance period. Captures end-of-life care.

Is M1459 covered by insurance?

M1459 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Documents patient receiving hospice or palliative care services. Appropriate denominator exclusion from disease-management measures.

When is CPT M1459 used?

Documents patient receiving hospice or palliative care services. Appropriate denominator exclusion from disease-management 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.