HCPCS Code Details - M1234

HCPCS Level II Code
Medical services
HCPCS Code M1234

Long description:
Patient has a reactive hcv antibody test, and has a follow up hcv viral test that does not detect hcv viremia

Short description:
Pt hcv rctv aby f/u neg

HCPCS Modifier1
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 A - Add procedure or modifier code
Type of service 1 - Medical care
Effective date Effective Jan 01, 2024
Date added Added Jan 01, 2024
HCPCS Coding Procedures

HCPCS Modifiers

In HCPCS Level II, modifiers are composed of two alpha or alphanumeric characters.

Example: E0260-NU - Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress
NU” identifies the hospital bed as new equipment

See also

  • HCPCS M1233 · Patient does not receive hcv antibody test or patient does receive hcv antibody test but results not documented, reason not given

  • HCPCS G0035 · Patient has any emergency department encounter during the performance period with place of service indicator 23

  • HCPCS G8560 · Patient has a history of active drainage from the ear within the previous 90 days

  • HCPCS M1230 · Patient has a reactive hcv antibody test and does not have a follow up hcv viral test, or patient has a reactive hcv antibody test and has a follow up hcv viral test that detects hcv viremia and is not referred to a clinician who treats hcv infection within 1 month and does not have hcv treatment initiated within 3 months of the reactive hcv antibody test, reason not given

  • HCPCS M1235 · Documentation or patient report of hcv antibody test or hcv rna test which occurred prior to 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”