M1192 Pt with diagnosis square cell ca of esophageal
Also known as: esophageal squamous cell cancer, SCC esophagus
Patient has diagnosis of squamous cell carcinoma of the esophagus documented during measurement period.
In Plain Language
Squamous cell cancer of the food pipe; Esophageal cancer
Clinical Context
Quality measure denominator identifying patients with specific esophageal malignancy type for targeted cancer treatment quality measures and immunotherapy eligibility assessment.
RVU Information
CPT M1192 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 M1192?
CPT M1192 (Pt with diagnosis square cell ca of esophageal) is a M Codes code. Patient has diagnosis of squamous cell carcinoma of the esophagus documented during measurement period.
Is M1192 covered by insurance?
M1192 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Quality measure denominator identifying patients with specific esophageal malignancy type for targeted cancer treatment quality measures and immunotherapy eligibility assessment.
When is CPT M1192 used?
Quality measure denominator identifying patients with specific esophageal malignancy type for targeted cancer treatment quality measures and immunotherapy eligibility assessment.
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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.