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M1486 Pt admitted to snf dur evaluation

M Codes

Also known as: Skilled nursing admission, SNF placement

Patient was admitted to a skilled nursing facility during the measurement episode evaluation period.

In Plain Language

Patient admitted to nursing facility

Clinical Context

Documents transitions to skilled nursing for post-acute care. Used to identify episode interruptions and quality measure exclusions.

RVU Information

CPT M1486 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

Care CoordinationGeriatricsHospital Medicine

Frequently Asked Questions

What is CPT code M1486?

CPT M1486 (Pt admitted to snf dur evaluation) is a M Codes code. Patient was admitted to a skilled nursing facility during the measurement episode evaluation period.

Is M1486 covered by insurance?

M1486 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Documents transitions to skilled nursing for post-acute care. Used to identify episode interruptions and quality measure exclusions.

When is CPT M1486 used?

Documents transitions to skilled nursing for post-acute care. Used to identify episode interruptions and quality measure exclusions.

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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.