M1326

Category

M. Medical services

NDC crosswalk

None in the loaded CMS ASP file

CMS HCPCS quarterly update

These sit next to M1326 in the CMS Level II file. All M codes

• M1321Patients who were not seen within 7 weeks following the date of injection for follow up or who did not have a documented iop or no plan of care documented if the iop was >25 mm hg
• M1322Patients seen within 7 weeks following the date of injection and are screened for elevated intraocular pressure (iop) with tonometry with documented iop =<25 mm hg for injected eye
• M1323Patients seen within 7 weeks following the date of injection and are screened for elevated intraocular pressure (iop) with tonometry with documented iop >25 mm hg and a plan of care was documented
• M1324Patients who had an intravitreal or periocular corticosteroid injection (e.g., triamcinolone, preservative-free triamcinolone, dexamethasone, dexamethasone intravitreal implant, or fluocinolone intravitreal implant)
• M1325Patients who were not seen for reasons documented by clinician for patient or medical reasons (e.g., inadequate time for follow-up, patients who received a prior intravitreal or periocular steroid injection within the last six (6) months and had a subsequent iop evaluation with iop <25mm hg within seven (7) weeks of treatment)
• M1327Patients who were not appropriately evaluated during the initial exam and/or who were not re-evaluated within 8 weeks
• M1328Patients with a diagnosis of acute vitreous hemorrhage
• M1329Patients with a post-operative encounter of the eye with the acute pvd within 2 weeks before the initial encounter or 8 weeks after initial acute pvd encounter
• M1330Documentation of patient reason(s) for not having a follow up exam (e.g., inadequate time for follow up)
• M1331Patients who were appropriately evaluated during the initial exam and were re-evaluated no later than 8 weeks from initial exam