M1181 Gr 2 or> dia or gr2 or> col
Also known as: immune-related diarrhea, immune-related colitis, Grade 2+ immune adverse event
Patient has Grade 2 or greater diarrhea or Grade 2 or greater colitis during measurement period.
In Plain Language
Severe intestinal inflammation from cancer drug; Immune-related bowel injury
Clinical Context
Tracks clinically significant immune-related adverse events from checkpoint inhibitor therapy, specifically moderate to severe gastrointestinal toxicity requiring intervention.
RVU Information
CPT M1181 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 M1181?
CPT M1181 (Gr 2 or> dia or gr2 or> col) is a M Codes code. Patient has Grade 2 or greater diarrhea or Grade 2 or greater colitis during measurement period.
Is M1181 covered by insurance?
M1181 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Tracks clinically significant immune-related adverse events from checkpoint inhibitor therapy, specifically moderate to severe gastrointestinal toxicity requiring intervention.
When is CPT M1181 used?
Tracks clinically significant immune-related adverse events from checkpoint inhibitor therapy, specifically moderate to severe gastrointestinal toxicity requiring intervention.
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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.