M1463 2 follow-up wthn 180 day prescription atmp
Also known as: HCV treatment follow-up, two follow-ups within 180 days, 2 f/u wthn 180 day
Performance measure documenting two follow-up visits or attempts within 180 days of treatment initiation for Hepatitis C. Tracks treatment follow-up care.
In Plain Language
Hepatitis C treatment follow-up visits; Two check-ups after treatment starts
Clinical Context
Documents completion of recommended follow-up visits after Hepatitis C treatment initiation within 180-day window. Standard of care for treatment monitoring.
RVU Information
CPT M1463 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 M1463?
CPT M1463 (2 follow-up wthn 180 day prescription atmp) is a M Codes code. Performance measure documenting two follow-up visits or attempts within 180 days of treatment initiation for Hepatitis C. Tracks treatment follow-up care.
Is M1463 covered by insurance?
M1463 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Documents completion of recommended follow-up visits after Hepatitis C treatment initiation within 180-day window. Standard of care for treatment monitoring.
When is CPT M1463 used?
Documents completion of recommended follow-up visits after Hepatitis C treatment initiation within 180-day window. Standard of care for treatment monitoring.
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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.