M1485 Neg viro resp hep c/qualitative rna
Also known as: Negative virologic response, Treatment failure
Patient has a negative virologic response to hepatitis C treatment based on qualitative hepatitis C virus ribonucleic acid (RNA) testing.
In Plain Language
Hepatitis C virus not cleared after treatment
Clinical Context
Documents patients who did not achieve virologic cure despite antiviral treatment, indicating treatment failure or need for alternative therapy.
RVU Information
CPT M1485 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 M1485?
CPT M1485 (Neg viro resp hep c/qualitative rna) is a M Codes code. Patient has a negative virologic response to hepatitis C treatment based on qualitative hepatitis C virus ribonucleic acid (RNA) testing.
Is M1485 covered by insurance?
M1485 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Documents patients who did not achieve virologic cure despite antiviral treatment, indicating treatment failure or need for alternative therapy.
When is CPT M1485 used?
Documents patients who did not achieve virologic cure despite antiviral treatment, indicating treatment failure or need for alternative therapy.
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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.