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M1182 Not elg pre ex ibd/uc/crohn

M Codes

Also known as: IBD/UC/Crohn's exclusion from ICI screening, pre-existing colitis exclusion

Patient is not eligible for pre-existing immune-related adverse event assessment due to inflammatory bowel disease, ulcerative colitis, or Crohn's disease diagnosis.

In Plain Language

Pre-existing bowel condition prevents immune therapy; Crohn's disease exemption from cancer drug

Clinical Context

Quality measure exclusion for patients with pre-existing inflammatory bowel disease, as they have increased risk for severe immune-related colitis with checkpoint inhibitor therapy.

RVU Information

CPT M1182 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

OncologyGastroenterologyImmunotherapy

Frequently Asked Questions

What is CPT code M1182?

CPT M1182 (Not elg pre ex ibd/uc/crohn) is a M Codes code. Patient is not eligible for pre-existing immune-related adverse event assessment due to inflammatory bowel disease, ulcerative colitis, or Crohn's disease diagnosis.

Is M1182 covered by insurance?

M1182 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Quality measure exclusion for patients with pre-existing inflammatory bowel disease, as they have increased risk for severe immune-related colitis with checkpoint inhibitor therapy.

When is CPT M1182 used?

Quality measure exclusion for patients with pre-existing inflammatory bowel disease, as they have increased risk for severe immune-related colitis with checkpoint inhibitor therapy.

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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.