Retinal exam finding without evidence of retinopathy in both eyes with severity level documented (in measurement year or in the prior year)
Code effective Jan 01, 2026
HCPCS Section
Medical services
M1430 is a valid 2026 HCPCS code meaning Retinal exam finding without evidence of retinopathy in both eyes with severity level documented (in measurement year or in the prior year) or (Ret exm ou no retinopthy doc) for short. HCPCS M1430 has been effective since 01/01/2026 and applies to Medical care.
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HCPCS Level II Code Section M - Medical services |
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| HCPCS Code | M1430 |
|---|---|
| Description |
Long description:
Short description: |
| 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.)
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| Multiple pricing indicator |
9 - Not applicable as HCPCS not priced separately by part B or value is not established
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| 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 |
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.