M1229 Pt with +hcv +vir ref win 1 mo
Also known as: HCV referral for treatment, hepatitis C specialist referral
Patient with positive hepatitis C virus antibody and positive virus referred for treatment within 1 month.
In Plain Language
Referred for hepatitis C treatment; Sent to liver disease specialist
Clinical Context
Hepatitis C quality measure documenting appropriate referral for antiviral therapy within 1 month of confirmed diagnosis.
RVU Information
CPT M1229 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 M1229?
CPT M1229 (Pt with +hcv +vir ref win 1 mo) is a M Codes code. Patient with positive hepatitis C virus antibody and positive virus referred for treatment within 1 month.
Is M1229 covered by insurance?
M1229 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Hepatitis C quality measure documenting appropriate referral for antiviral therapy within 1 month of confirmed diagnosis.
When is CPT M1229 used?
Hepatitis C quality measure documenting appropriate referral for antiviral therapy within 1 month of confirmed diagnosis.
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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.