HCPCS Code M1433

Patient on oral chemotherapy on or within 30 days before denominator eligible encounter
Code effective Jan 01, 2026

HCPCS Section
Medical services

M1433 is a valid 2026 HCPCS code meaning Patient on oral chemotherapy on or within 30 days before denominator eligible encounter or (Oral chemo wthn 30 days enc) for short. HCPCS M1433 has been effective since 01/01/2026 and applies to Medical care.

HCPCS Code Details - M1433

HCPCS Level II Code
Section M - Medical services
HCPCS Code M1433
Description

Long description:
Patient on oral chemotherapy on or within 30 days before denominator eligible encounter

Short description:
Oral chemo wthn 30 days enc

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 M1432 · Encounters conducted via telehealth

  • HCPCS M1434 · Patient on oral chemotherapy on or within 30 days after denominator eligible encounter

  • HCPCS M1435 · Patient on oral chemotherapy during the performance period

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.