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M1194

Med rsn no imp/con mmr/msi

Documentation of medical reason(s) surgical pathology reports did not contain impression or conclusion of or recommendation for testing of mmr by immunohistochemistry, msi by dna-based testing status, or both tests were not included (e.g., patient will not be treated with checkpoint inhibitor therapy, no residual carcinoma is present in the sample [tissue exhausted or status post neoadjuvant treatment], insufficient tumor for testing)

Code system
HCPCS Level II
Status
Active
Billable
Yes
In effect from
2023-01-01
Request
curl https://api.healthcare.dev/v1/codes/hcpcs/M1194 \
  -H "Authorization: Bearer $HDEV_API_KEY"
200 OK · application/json
{
  "data": {
    "code": "M1194",
    "parent": null,
    "status": "active",
    "system": "hcpcs",
    "display": "Med rsn no imp/con mmr/msi",
    "billable": true,
    "attributes": {
      "betos": "Z2",
      "coverage": "C",
      "action_code": "N",
      "type_of_service": "1",
      "pricing_indicator": "00",
      "action_effective_date": "2023-01-01"
    },
    "description": "Documentation of medical reason(s) surgical pathology reports did not contain impression or conclusion of or recommendation for testing of mmr by immunohistochemistry, msi by dna-based testing status, or both tests were not included (e.g., patient will not be treated with checkpoint inhibitor therapy, no residual carcinoma is present in the sample [tissue exhausted or status post neoadjuvant treatment], insufficient tumor for testing)",
    "replaced_by": [],
    "effective_end": null,
    "effective_start": "2023-01-01",
    "care_categories": [],
    "care_category_details": []
  },
  "meta": {
    "source": "cms-hcpcs",
    "data_version": "2026-10"
  }
}

CMS attributes

M1194 in the HCPCS file

betos
Z2
coverage
C
action code
N
type of service
1
pricing indicator
00
action effective date
2023-01-01

Change history

Lifecycle

M1194 has been in effect since 2023-01-01. This page shows HCPCS Level II release 2026-10.

Add as_of=YYYY-MM-DD to the request to get this code exactly as it was on a past date. The change feed (GET /v1/changes) lists what each release added, changed or retired across the whole dataset; a per-code change list isn't published yet.

Use it

Look up M1194 from code or an agent

curl
curl https://api.healthcare.dev/v1/codes/hcpcs/M1194 \
  -H "Authorization: Bearer $HDEV_API_KEY"
MCP prompt
Using the healthcare.dev MCP server, look up HCPCS Level II code M1194. Tell me what it covers, whether it is active and since when, and any CMS attributes it has.

Source: CMS, release 2026-10. Public domain (D-series CDT codes excluded). Reference data, not medical or billing advice.