M1235 Doc pt hcv aby rna tst
Also known as: HCV RNA testing documented, hepatitis C viral load testing
Documented hepatitis C virus antibody positive and hepatitis C ribonucleic acid testing performed.
In Plain Language
Hepatitis C virus level test done; Viral load testing for hepatitis C
Clinical Context
Hepatitis C quality measure documenting hepatitis C viral RNA testing for confirmation and virologic assessment in HCV-antibody-positive patients.
RVU Information
CPT M1235 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 M1235?
CPT M1235 (Doc pt hcv aby rna tst) is a M Codes code. Documented hepatitis C virus antibody positive and hepatitis C ribonucleic acid testing performed.
Is M1235 covered by insurance?
M1235 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Hepatitis C quality measure documenting hepatitis C viral RNA testing for confirmation and virologic assessment in HCV-antibody-positive patients.
When is CPT M1235 used?
Hepatitis C quality measure documenting hepatitis C viral RNA testing for confirmation and virologic assessment in HCV-antibody-positive patients.
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.