M1465 Follow-up > 180 days after prescription
Also known as: delayed HCV follow-up, late treatment follow-up, f/u > 180 days after
Performance measure documenting follow-up visit more than 180 days after Hepatitis C treatment initiation. Captures delayed follow-up.
In Plain Language
Hepatitis C checkup months after treatment; Late follow-up visit documented
Clinical Context
Documents follow-up visit occurring after 180-day window from HCV treatment initiation. May affect treatment outcome assessment and cure determination.
RVU Information
CPT M1465 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 M1465?
CPT M1465 (Follow-up > 180 days after prescription) is a M Codes code. Performance measure documenting follow-up visit more than 180 days after Hepatitis C treatment initiation. Captures delayed follow-up.
Is M1465 covered by insurance?
M1465 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Documents follow-up visit occurring after 180-day window from HCV treatment initiation. May affect treatment outcome assessment and cure determination.
When is CPT M1465 used?
Documents follow-up visit occurring after 180-day window from HCV treatment initiation. May affect treatment outcome assessment and cure determination.
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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.