M1186 Pt with prescription for hspc/plltv care
Also known as: hospice/palliative care enrollment, end-of-life services
Patient receives hospice or palliative care services during measurement period.
In Plain Language
Comfort-focused care services; End-of-life care enrollment
Clinical Context
Quality measure exclusion documenting enrollment in hospice or formal palliative care services, which may exempt patients from certain performance measures focused on curative treatment.
RVU Information
CPT M1186 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 M1186?
CPT M1186 (Pt with prescription for hspc/plltv care) is a M Codes code. Patient receives hospice or palliative care services during measurement period.
Is M1186 covered by insurance?
M1186 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Quality measure exclusion documenting enrollment in hospice or formal palliative care services, which may exempt patients from certain performance measures focused on curative treatment.
When is CPT M1186 used?
Quality measure exclusion documenting enrollment in hospice or formal palliative care services, which may exempt patients from certain performance measures focused on curative treatment.
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.