M1497 No doc fall medial rsn
Also known as: Fall assessment contraindicated, No assessment with reason
No documented assessment of falls is present and there is a documented medical reason for not assessing fall risk.
In Plain Language
Fall risk not assessed for medical reason
Clinical Context
Documents appropriate exclusions from fall risk assessment due to medical contraindications or patient factors.
RVU Information
CPT M1497 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 M1497?
CPT M1497 (No doc fall medial rsn) is a M Codes code. No documented assessment of falls is present and there is a documented medical reason for not assessing fall risk.
Is M1497 covered by insurance?
M1497 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Documents appropriate exclusions from fall risk assessment due to medical contraindications or patient factors.
When is CPT M1497 used?
Documents appropriate exclusions from fall risk assessment due to medical contraindications or patient factors.
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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.