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M1479 Pt func cap not allow impr

M Codes

Also known as: No functional improvement possible, Limited rehab potential

Patient's functional capacity does not allow for improvement in mobility or function.

In Plain Language

Patient cannot improve with therapy

Clinical Context

Identifies patients with fixed functional deficits unsuitable for intensive rehabilitation, used in physical and occupational therapy quality measures.

RVU Information

CPT M1479 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

Physical TherapyRehabilitationNursing

Frequently Asked Questions

What is CPT code M1479?

CPT M1479 (Pt func cap not allow impr) is a M Codes code. Patient's functional capacity does not allow for improvement in mobility or function.

Is M1479 covered by insurance?

M1479 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Identifies patients with fixed functional deficits unsuitable for intensive rehabilitation, used in physical and occupational therapy quality measures.

When is CPT M1479 used?

Identifies patients with fixed functional deficits unsuitable for intensive rehabilitation, used in physical and occupational therapy quality 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.