M1195 Report wo imp/con mmr/msi
Also known as: no MMR/MSI testing, tumor profiling not performed
Pathology report without documented impressions of mismatch repair or microsatellite instability status.
In Plain Language
Cancer marker test not done; Genetic testing not performed
Clinical Context
Quality measure denominator tracking esophageal and gastric cancer cases without documented mismatch repair or microsatellite instability testing, indicating gap in tumor profiling.
RVU Information
CPT M1195 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 M1195?
CPT M1195 (Report wo imp/con mmr/msi) is a M Codes code. Pathology report without documented impressions of mismatch repair or microsatellite instability status.
Is M1195 covered by insurance?
M1195 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Quality measure denominator tracking esophageal and gastric cancer cases without documented mismatch repair or microsatellite instability testing, indicating gap in tumor profiling.
When is CPT M1195 used?
Quality measure denominator tracking esophageal and gastric cancer cases without documented mismatch repair or microsatellite instability testing, indicating gap in tumor profiling.
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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.