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HCPCS codes / M / M1230

M1230

Patient has a reactive hcv antibody test and does not have a follow up hcv viral test, or patient has a reactive hcv antibody test and has a follow up hcv viral test that detects hcv viremia and is not referred to a clinician who treats hcv infection within 1 month and does not have hcv treatment initiated within 3 months of the reactive hcv antibody test, reason not given

Code type
HCPCS Level II
Coverage
Carrier judgment
BETOS category
Z2
Pricing indicator
00
Effective date
20240101
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