M1404 – Patients on a therapeutic clinical trial

Long description

Patients on a therapeutic clinical trial

Short description

Pt ther clin trial

Pricing indicator

00 Not separately priced by Part B (bundled, not covered or Part A only)

Medicare coverage

C Carrier judgment – coverage decided by the Medicare contractor

BETOS category

Z2 Undefined codes

Added

January 1, 2025

Last change

January 1, 2025 – No change

Nearby M codes

• M1396 – Patients on a therapeutic clinical trial
• M1397 – Patients with recurrence/disease progression
• M1398 – Patients with baseline and follow-up promis surveys documented in the medical record
• M1399 – Patients who leave the practice during the follow-up period
• M1400 – Patients who died during the follow-up period
• M1401 – Stages i-iii breast cancer
• M1402 – Patients receiving an initial chemotherapy regimen with a defined duration with the eligible clinician or group
• M1403 – Patients with baseline and follow-up promis surveys documented in the medical record
• M1405 – Patients with recurrence/disease progression
• M1406 – Patients who leave the practice during the follow-up period
• M1407 – Patients who died during the follow-up period
• M1408 – Patients who have germline brca testing completed before diagnosis of epithelial ovarian, fallopian tube, or primary peritoneal cancer
• M1409 – Patients who received germline testing for brca1 and brca2 or genetic counseling completed within 6 months of diagnosis
• M1410 – Patients who did not have germline testing for brca1 and brca2 or genetic counseling completed within 6 months of diagnosis
• M1411 – Currently on first-line immune checkpoint inhibitors without chemotherapy
• M1412 – Patients with metastatic nsclc with epidermal growth factor receptor (egfr) mutations, alk genomic tumor aberrations, or other targetable genomic abnormalities with approved first-line targeted therapy, such as nsclc with ros1 rearrangement, braf v600e mutation, ntrk 1/2/3 gene fusion, met ex14 skipping mutation, and ret rearrangement