M1495 Fall with poc, no fall
Also known as: Fall prevention plan, no falls, POC effective
Patient reported one or more falls with a plan of care in place, but no falls occurred during the measurement period.
In Plain Language
Fall plan worked, no new falls
Clinical Context
Documents patients at high fall risk with appropriate intervention plans that have successfully prevented falls.
RVU Information
CPT M1495 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 M1495?
CPT M1495 (Fall with poc, no fall) is a M Codes code. Patient reported one or more falls with a plan of care in place, but no falls occurred during the measurement period.
Is M1495 covered by insurance?
M1495 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Documents patients at high fall risk with appropriate intervention plans that have successfully prevented falls.
When is CPT M1495 used?
Documents patients at high fall risk with appropriate intervention plans that have successfully prevented falls.
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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.