4196F Ptnot rcvng anti-rhm thxpyra
Performance measure indicating patient is not receiving anti-rheumatoid therapy for rheumatoid arthritis. Documents absence of disease-modifying therapy.
Clinical Context
Quality measure documenting when rheumatoid arthritis patients are not on disease-modifying therapy, which may indicate contraindication, remission, or care gap.
RVU Information
CPT 4196F 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 4196F?
CPT 4196F (Ptnot rcvng anti-rhm thxpyra) is a Other code. Performance measure indicating patient is not receiving anti-rheumatoid therapy for rheumatoid arthritis. Documents absence of disease-modifying therapy.
Who uses CPT code 4196F?
CPT 4196F is used by Rheumatology, Quality Measures. Quality measure documenting when rheumatoid arthritis patients are not on disease-modifying therapy, which may indicate contraindication, remission, or care gap.
When is CPT 4196F used?
Quality measure documenting when rheumatoid arthritis patients are not on disease-modifying therapy, which may indicate contraindication, remission, or care gap.
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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.