4095F Pt not rcvng epo thxpy
Also known as: no ESA therapy measure, ESA not indicated, EPO not given measure
Performance measure code indicating that a patient is not receiving erythropoiesis stimulating agent therapy.
In Plain Language
no anemia booster medication given; red blood cell medication not needed; ESA not used
Clinical Context
Quality measure documenting that erythropoiesis stimulating agents are not being used, either because they are not indicated or are contraindicated in a patient with anemia.
RVU Information
CPT 4095F 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 4095F?
CPT 4095F (Pt not rcvng epo thxpy) is a Other code. Performance measure code indicating that a patient is not receiving erythropoiesis stimulating agent therapy.
Who uses CPT code 4095F?
CPT 4095F is used by Nephrology, Oncology, Internal Medicine. Quality measure documenting that erythropoiesis stimulating agents are not being used, either because they are not indicated or are contraindicated in a patient with anemia.
When is CPT 4095F used?
Quality measure documenting that erythropoiesis stimulating agents are not being used, either because they are not indicated or are contraindicated in a patient with anemia.
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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.