M1234 Pt hcv rctv aby follow-up neg
Also known as: HCV antibody positive with negative RNA, prior hepatitis C infection resolved
Patient with reactive hepatitis C virus antibody with follow-up testing documenting negative result.
In Plain Language
Hepatitis C past exposure, now clear; Positive antibody, virus not detected
Clinical Context
Hepatitis C quality measure documenting cleared hepatitis C infection with positive antibody but negative viral RNA or recombinant immunoblot.
RVU Information
CPT M1234 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 M1234?
CPT M1234 (Pt hcv rctv aby follow-up neg) is a M Codes code. Patient with reactive hepatitis C virus antibody with follow-up testing documenting negative result.
Is M1234 covered by insurance?
M1234 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Hepatitis C quality measure documenting cleared hepatitis C infection with positive antibody but negative viral RNA or recombinant immunoblot.
When is CPT M1234 used?
Hepatitis C quality measure documenting cleared hepatitis C infection with positive antibody but negative viral RNA or recombinant immunoblot.
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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.