M1194 Medial rsn no imp/con mmr/msi
Also known as: MMR/MSI testing contraindicated, medical reason for no tumor profiling
Documented medical reason that mismatch repair or microsatellite instability testing was not performed.
In Plain Language
Medical reason tumor marker test not done; Valid reason for skipping genetic testing
Clinical Context
Quality measure exclusion documenting medical contraindication to mismatch repair or microsatellite instability testing such as unavailable or insufficient tissue.
RVU Information
CPT M1194 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 M1194?
CPT M1194 (Medial rsn no imp/con mmr/msi) is a M Codes code. Documented medical reason that mismatch repair or microsatellite instability testing was not performed.
Is M1194 covered by insurance?
M1194 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Quality measure exclusion documenting medical contraindication to mismatch repair or microsatellite instability testing such as unavailable or insufficient tissue.
When is CPT M1194 used?
Quality measure exclusion documenting medical contraindication to mismatch repair or microsatellite instability testing such as unavailable or insufficient tissue.
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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.