1127F New episode for condition
Also known as: new episode code
Documentation of new episode for patient's medical condition. This performance measure code indicates first occurrence or restart of a condition.
Clinical Context
Used when patient presents with new onset of symptoms or when condition has recurred after period of remission.
RVU Information
CPT 1127F does not have a physician work RVU assigned by CMS. Reimbursement for this code is determined by payer-specific fee schedules.
Billing & Documentation
Documentation should include the clinical indication, service details, and any applicable performance metrics. Coverage may vary by payer — verify acceptance before billing.
Specialties
Frequently Asked Questions
What is CPT code 1127F?
CPT 1127F (New episode for condition) is a Other code. Documentation of new episode for patient's medical condition. This performance measure code indicates first occurrence or restart of a condition.
Who uses CPT code 1127F?
CPT 1127F is used by Quality Reporting, Care Coordination. Used when patient presents with new onset of symptoms or when condition has recurred after period of remission.
When is CPT 1127F used?
Used when patient presents with new onset of symptoms or when condition has recurred after period of remission.
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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.