HCPCS Code M1429

Retinal exam finding with evidence of retinopathy in left, right or both eyes with severity level documented
Code effective Jan 01, 2026

HCPCS Section
Medical services

M1429 is a valid 2026 HCPCS code meaning Retinal exam finding with evidence of retinopathy in left, right or both eyes with severity level documented or (Retinopathy in od, os, ou) for short. HCPCS M1429 has been effective since 01/01/2026 and applies to Medical care.


HCPCS Code Details - M1429

HCPCS Level II Code
Section M - Medical services
HCPCS Code M1429
Description

Long description:
Retinal exam finding with evidence of retinopathy in left, right or both eyes with severity level documented

Short description:
Retinopathy in od, os, ou

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, 2026
Date added Added Jan 01, 2026

See also

  • HCPCS M1428 · Patients who have bilateral absence of eyes any time during the patient's history through the end of the measurement period

  • HCPCS M1430 · Retinal exam finding without evidence of retinopathy in both eyes with severity level documented (in measurement year or in the prior year)

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.