M1494 Fall rep since last visit
Also known as: Fall reported, Recent falls
Patient reported one or more falls since the last clinical encounter.
In Plain Language
Patient had one or more falls
Clinical Context
Documents recent falls in geriatric and post-acute settings. Critical for fall prevention and intervention planning.
RVU Information
CPT M1494 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 M1494?
CPT M1494 (Fall rep since last visit) is a M Codes code. Patient reported one or more falls since the last clinical encounter.
Is M1494 covered by insurance?
M1494 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Documents recent falls in geriatric and post-acute settings. Critical for fall prevention and intervention planning.
When is CPT M1494 used?
Documents recent falls in geriatric and post-acute settings. Critical for fall prevention and intervention planning.
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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.