M1180 Pt imm ckpt inhib therapy
Also known as: immune checkpoint inhibitor ineligibility, ICI contraindication
Patient is immune checkpoint inhibitor therapy ineligible based on clinical criteria including Grade 2 or greater immune-related adverse events.
In Plain Language
Not eligible for immunotherapy; Cancer drug contraindication
Clinical Context
Used in quality measures for immunotherapy-eligible cancers to identify patients with contraindications to immune checkpoint inhibitor therapy such as Grade 2 or higher diarrhea, colitis, or other immune-related adverse events.
RVU Information
CPT M1180 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 M1180?
CPT M1180 (Pt imm ckpt inhib therapy) is a M Codes code. Patient is immune checkpoint inhibitor therapy ineligible based on clinical criteria including Grade 2 or greater immune-related adverse events.
Is M1180 covered by insurance?
M1180 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Used in quality measures for immunotherapy-eligible cancers to identify patients with contraindications to immune checkpoint inhibitor therapy such as Grade 2 or higher diarrhea, colitis, or other immune-related adverse events.
When is CPT M1180 used?
Used in quality measures for immunotherapy-eligible cancers to identify patients with contraindications to immune checkpoint inhibitor therapy such as Grade 2 or higher diarrhea, colitis, or other immune-related adverse events.
Track This Code in RVU Edge
Log procedures, calculate wRVUs, and benchmark against national data — all in one app.
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.