M1166 Path report tissue specimen wle/reexc
Also known as: tissue pathology report, wide local excision pathology, WLE pathology documentation
Pathology report on tissue specimen received with wide local excision or re-excision documentation during measurement period.
In Plain Language
Tissue sample examined after surgical removal; Pathology results for cancer surgery
Clinical Context
Used in quality measure tracking for surgical oncology cases where pathological examination confirms the extent of tumor removal with negative margins during wide local excision procedures.
RVU Information
CPT M1166 does not have a physician work RVU assigned by CMS. Reimbursement for this code is determined by payer-specific fee schedules.
Billing & Documentation
M-codes cover quality measures and performance reporting. They are used in value-based care programs to track whether specific clinical actions were taken. Documentation must support that the measured action was performed or a valid exclusion applies.
Specialties
Frequently Asked Questions
What is CPT code M1166?
CPT M1166 (Path report tissue specimen wle/reexc) is a M Codes code. Pathology report on tissue specimen received with wide local excision or re-excision documentation during measurement period.
Is M1166 covered by insurance?
M1166 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Used in quality measure tracking for surgical oncology cases where pathological examination confirms the extent of tumor removal with negative margins during wide local excision procedures.
When is CPT M1166 used?
Used in quality measure tracking for surgical oncology cases where pathological examination confirms the extent of tumor removal with negative margins during wide local excision procedures.
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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.