M1228 Pt + hcv aby +vir with prescription 3 mo
Also known as: HCV treatment initiated, hepatitis C antiviral therapy
Patient with positive hepatitis C virus antibody and positive virus with treatment received within 3 months.
In Plain Language
Hepatitis C treatment started; Antiviral drug for liver disease given
Clinical Context
Hepatitis C quality measure numerator documenting antiviral therapy initiation within 3 months of confirmed diagnosis.
RVU Information
CPT M1228 does not have a physician work RVU assigned by CMS. Reimbursement for this code is determined by payer-specific fee schedules.
Billing & Documentation
M-codes cover quality measures and performance reporting. They are used in value-based care programs to track whether specific clinical actions were taken. Documentation must support that the measured action was performed or a valid exclusion applies.
Specialties
Frequently Asked Questions
What is CPT code M1228?
CPT M1228 (Pt + hcv aby +vir with prescription 3 mo) is a M Codes code. Patient with positive hepatitis C virus antibody and positive virus with treatment received within 3 months.
Is M1228 covered by insurance?
M1228 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Hepatitis C quality measure numerator documenting antiviral therapy initiation within 3 months of confirmed diagnosis.
When is CPT M1228 used?
Hepatitis C quality measure numerator documenting antiviral therapy initiation within 3 months of confirmed diagnosis.
Track This Code in RVU Edge
Log procedures, calculate wRVUs, and benchmark against national data — all in one app.
CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.