M1230 Pt hcv rctv aby no follow-up tst
Also known as: HCV antibody positive, no confirmatory test, incomplete hepatitis C testing
Patient with reactive hepatitis C virus antibody with no follow-up testing to confirm infection status.
In Plain Language
Hepatitis C screening positive, no follow-up; Initial positive test not confirmed
Clinical Context
Hepatitis C quality measure identifying patients requiring confirmation testing with hepatitis C viral RNA or recombinant immunoblot assay.
RVU Information
CPT M1230 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 M1230?
CPT M1230 (Pt hcv rctv aby no follow-up tst) is a M Codes code. Patient with reactive hepatitis C virus antibody with no follow-up testing to confirm infection status.
Is M1230 covered by insurance?
M1230 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Hepatitis C quality measure identifying patients requiring confirmation testing with hepatitis C viral RNA or recombinant immunoblot assay.
When is CPT M1230 used?
Hepatitis C quality measure identifying patients requiring confirmation testing with hepatitis C viral RNA or recombinant immunoblot assay.
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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.