M1491 Rec'd esrd mcp dur perf pd
Also known as: ESRD MCP received, Dialysis coverage
Patient received end-stage renal disease Medicare Conditions Payment (MCP) during the performance period.
In Plain Language
Patient received kidney disease Medicare payment
Clinical Context
Documents patients receiving Medicare Conditions Payment for end-stage renal disease. Used for quality measure exclusions and payment tracking.
RVU Information
CPT M1491 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 M1491?
CPT M1491 (Rec'd esrd mcp dur perf pd) is a M Codes code. Patient received end-stage renal disease Medicare Conditions Payment (MCP) during the performance period.
Is M1491 covered by insurance?
M1491 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Documents patients receiving Medicare Conditions Payment for end-stage renal disease. Used for quality measure exclusions and payment tracking.
When is CPT M1491 used?
Documents patients receiving Medicare Conditions Payment for end-stage renal disease. Used for quality measure exclusions and payment tracking.
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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.