M1422 – Gastroenterology care mips value pathway

Long description

Gastroenterology care mips value pathway

Short description

Gastroenterology care mvp

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

• M1414 – 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)
• M1415 – Patients who did not have a positive pd-l1 biomarker expression test result prior to the initiation of first-line immune checkpoint inhibitor therapy
• M1416 – Patient received hospice services any time during the performance period
• M1417 – Patients who are up to date on their covid-19 vaccinations as defined by cdc recommendations on current vaccination
• M1418 – Patients who are not up to date on their covid-19 vaccinations as defined by cdc recommendations on current vaccination because of a medical contraindication documented by clinician
• M1419 – Patients who are not up to date on their covid-19 vaccinations as defined by cdc recommendations on current vaccination
• M1420 – Complete ophthalmologic care mips value pathway
• M1421 – Dermatological care mips value pathway
• M1423 – Optimal care for patients with urologic conditions mips value pathway
• M1424 – Pulmonology care mips value pathway
• M1425 – Surgical care mips value pathway
• M1426 – Encounters conducted via telehealth
• M1427 – Documentation of medical reason(s) for performing a bone scan (including documented pain related to prostate cancer, salvage therapy, other medical reasons)
• M1428 – Patients who have bilateral absence of eyes any time during the patient's history through the end of the measurement period
• M1429 – Retinal exam finding with evidence of retinopathy in left, right or both eyes with severity level documented
• M1430 – Retinal exam finding without evidence of retinopathy in both eyes with severity level documented (in measurement year or in the prior year)