HCPCS codes / M / M1194
M1194
Documentation of medical reason(s) surgical pathology reports did not contain impression or conclusion of or recommendation for testing of mmr by immunohistochemistry, msi by dna-based testing status, or both tests were not included (e.g., patient will not be treated with checkpoint inhibitor therapy, no residual carcinoma is present in the sample [tissue exhausted or status post neoadjuvant treatment], insufficient tumor for testing)
- Code type
- HCPCS Level II
- Coverage
- Carrier judgment
- BETOS category
- Z2
- Pricing indicator
- 00
- Effective date
- 20230101
Verify before billing. Confirm against current official CMS HCPCS files and your payer's rules before clinical or claims use.