HCPCS Code M1235

Documentation or patient report of hcv antibody test or hcv rna test which occurred prior to the performance period
Code effective Jan 01, 2024

HCPCS Section
Medical services

M1235 is a valid 2026 HCPCS code meaning Documentation or patient report of hcv antibody test or hcv rna test which occurred prior to the performance period or (Doc pt hcv aby rna tst) for short. HCPCS M1235 has been effective since 01/01/2024 and applies to Medical care.

HCPCS Code Details - M1235

HCPCS Level II Code
Section M - Medical services
HCPCS Code M1235
Description

Long description:
Documentation or patient report of hcv antibody test or hcv rna test which occurred prior to the performance period

Short description:
Doc pt hcv aby rna tst

HCPCS Pricing indicator 00 - Physician Fee Schedule And Non-Physician Practitioners - Service not separately priced by part B (e.g., services not covered, bundled, used by Part A only, etc.)
Multiple pricing indicator 9 - Not applicable as HCPCS not priced separately by part B or value is not established
Coverage code C - Carrier judgment
BETOS2 code Z2 - Undefined codes
HCPCS Action code N - No maintenance for this code
Type of service 1 - Medical care
Effective date Effective Jan 01, 2024
Date added Added Jan 01, 2024

See also

  • HCPCS M1234 · Patient has a reactive hcv antibody test, and has a follow up hcv viral test that does not detect hcv viremia

  • HCPCS M1236 · Baseline mrs > 2

1 Two-digit numeric codes are Level I code modifiers copyrighted© by the American Medical Association's Current Procedural Terminology (CPT).

2 BETOS stands for “Berenson-Eggers Type Of Service”

HCPCS Level II codes and descriptors are approved and maintained jointly by the alpha-numeric editorial panel (consisting of CMS, the Health Insurance Association of America, and the Blue Cross and Blue Shield Association). — Updated 6/23/2026

CPT® is a registered trademark of the American Medical Association (AMA). All rights reserved.