M1464 No record of follow-up by 180 days
Also known as: no HCV follow-up documented, missed treatment follow-up, no record of f/u
Performance measure documenting no record of follow-up visit by 180 days after Hepatitis C treatment initiation. Identifies care gaps.
In Plain Language
No hepatitis C follow-up appointment documented; Missing post-treatment checkup
Clinical Context
Documents lack of documented follow-up visit by 180 days after HCV treatment. Signals care gap requiring outreach.
RVU Information
CPT M1464 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 M1464?
CPT M1464 (No record of follow-up by 180 days) is a M Codes code. Performance measure documenting no record of follow-up visit by 180 days after Hepatitis C treatment initiation. Identifies care gaps.
Is M1464 covered by insurance?
M1464 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Documents lack of documented follow-up visit by 180 days after HCV treatment. Signals care gap requiring outreach.
When is CPT M1464 used?
Documents lack of documented follow-up visit by 180 days after HCV treatment. Signals care gap requiring outreach.
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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.