M1474 Pt diagnosis dementia
Also known as: Dementia diagnosis, Cognitive decline
Patient has a diagnosis of dementia documented in the medical record.
In Plain Language
Patient has dementia; Memory loss diagnosis
Clinical Context
Used to identify patients with dementia for quality measure exclusions and care planning. Important for rehabilitation and functional assessment protocols.
RVU Information
CPT M1474 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 M1474?
CPT M1474 (Pt diagnosis dementia) is a M Codes code. Patient has a diagnosis of dementia documented in the medical record.
Is M1474 covered by insurance?
M1474 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Used to identify patients with dementia for quality measure exclusions and care planning. Important for rehabilitation and functional assessment protocols.
When is CPT M1474 used?
Used to identify patients with dementia for quality measure exclusions and care planning. Important for rehabilitation and functional assessment protocols.
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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.