Other Services HCPCS Code range M1146-M1425

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)

Patients who did not have a positive pd-l1 biomarker expression test result prior to the initiation of first-line immune checkpoint inhibitor therapy

Patient received hospice services any time during the performance period

Patients who are up to date on their covid-19 vaccinations as defined by cdc recommendations on current vaccination

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

Patients who are not up to date on their covid-19 vaccinations as defined by cdc recommendations on current vaccination

Complete ophthalmologic care mips value pathway

Dermatological care mips value pathway

Gastroenterology care mips value pathway

Optimal care for patients with urologic conditions mips value pathway