HCPCS M1414 Code. Med rsn no pdl1 bef 1st ther


Table of content for "Med rsn no pdl1 bef 1st ther" (HCPCS M1414)

General information on the “M1414” code

HCPCS Code: M1414
Long Description: Documentation of medical reason(s) for not performing the pd-l1 biomarker expression test prior to initiation of first-line immune checkpoint inhibitor therapy (e.g., patient is in an urgent or emergent situation where delay of treatment would jeopardize the patient's health status; other medical reasons/contraindication)
Short Description: Med rsn no pdl1 bef 1st ther

Original information is taken from M1414 page

Pricing indicators

Pricing Indicator Code 1: 00 – Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)
Multiple Pricing Indicator Code 9 : Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99')

Certification and additional reference information

Coverage

Coverage: C – Carrier judgment

Type of service


Berenson-Eggers Type of Service (BETOS): Z2 – Undefined codes
Type Of Service 1: 1 – Medical care

Misc information

Anesthesia Base Unit Quantity: 0
Code Added Date: 20250101
Code Effective Date: 20250101
Action Code: A – Add procedure or modifier code