HCPCS Code M1434

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

HCPCS Section
Medical services

M1434 is a valid 2026 HCPCS code meaning Patient on oral chemotherapy on or within 30 days after denominator eligible encounter or (Orl chemo wthn 30 d post enc) for short. HCPCS M1434 has been effective since 01/01/2026 and applies to Medical care.


HCPCS Code Details - M1434

HCPCS Level II Code
Section M - Medical services
HCPCS Code M1434
Description

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

Short description:
Orl chemo wthn 30 d post 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 M1433 · Patient on oral chemotherapy on or within 30 days before 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 6/3/2026

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