M1185 Imm ckpt inhib not hld no prescription
Also known as: no ICI hold or corticosteroid therapy, continued immune checkpoint inhibitor
Immune checkpoint inhibitor therapy not held and no corticosteroid or immunosuppressant therapy administered during measurement period.
In Plain Language
Cancer drug continued without pause; Ongoing immunotherapy without interruption
Clinical Context
Documents continuation of immune checkpoint inhibitor therapy without interruption and without need for corticosteroid or immunosuppressant intervention.
RVU Information
CPT M1185 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 M1185?
CPT M1185 (Imm ckpt inhib not hld no prescription) is a M Codes code. Immune checkpoint inhibitor therapy not held and no corticosteroid or immunosuppressant therapy administered during measurement period.
Is M1185 covered by insurance?
M1185 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Documents continuation of immune checkpoint inhibitor therapy without interruption and without need for corticosteroid or immunosuppressant intervention.
When is CPT M1185 used?
Documents continuation of immune checkpoint inhibitor therapy without interruption and without need for corticosteroid or immunosuppressant 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.