HCPCS code M1414 — Med rsn no pdl1 bef 1st ther. Status: Active. Effective Jan 1, 2025. Source: CMS HCPCS Level II.

M1414

Active

Med rsn no pdl1 bef 1st ther

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)

Category: Medical Services
Section: M-codes: Medical Services
Effective: Jan 1, 2025
Code type: alphanumeric
OPPS Status: M — Items / services not billable to the fiscal intermediary or MAC

Change History

Quarterly changes published by CMS. Revisions may affect the code description, coverage, or rate — review each quarter's changes before submitting claims.

  • New Code 2025-Q1
    Med rsn no pdl1 bef 1st ther