M1233 – Patient does not receive hcv antibody test or patient does receive hcv antibody test but results not documented, reason not given
HCPCS Level II code · M codes: Medical Services and Quality Measures
HCPCS codeM1233
- Long description
- Patient does not receive hcv antibody test or patient does receive hcv antibody test but results not documented, reason not given
- Short description
- Pt no hcv aby or result
- Pricing indicator
00Not separately priced by Part B (bundled, not covered or Part A only)- Medicare coverage
CCarrier judgment – coverage decided by the Medicare contractor- BETOS category
Z2Undefined codes- Added
- January 1, 2024
- Last change
- January 1, 2024 – No change
Frequently asked questions
What is HCPCS code M1233?
M1233 is a HCPCS Level II code for patient does not receive hcv antibody test or patient does receive hcv antibody test but results not documented, reason not given.
Does Medicare cover M1233?
The HCPCS file lists coverage code C: Carrier judgment – coverage decided by the Medicare contractor. Coverage and payment also depend on local coverage determinations and the patient’s plan.
Nearby M codes
- M1225 – Intraocular pressure (iop) reduced by a value of greater than or equal to 20% from the pre-intervention level
- M1226 – Iop measurement not documented, reason not otherwise specified
- M1227 – Evidence-based therapy was prescribed
- M1228 – Patient, who has a reactive hcv antibody test, and has a follow up hcv viral test that detected hcv viremia, has hcv treatment initiated within 3 months of the reactive hcv antibody test
- M1229 – Patient, who has a reactive hcv antibody test, and has a follow up hcv viral test that detected hcv viremia, is referred within 1 month of the reactive hcv antibody test to a clinician who treats hcv infection
- 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
- M1231 – Patient receives hcv antibody test with nonreactive result
- M1232 – Patient receives hcv antibody test with reactive result
- M1234 – Patient has a reactive hcv antibody test, and has a follow up hcv viral test that does not detect hcv viremia
- M1235 – Documentation or patient report of hcv antibody test or hcv rna test which occurred prior to the performance period
- M1236 – Baseline mrs > 2
- M1237 – Patient reason for not screening for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety (e.g., patient declined or other patient reasons)
- M1238 – Documentation that administration of second recombinant zoster vaccine could not occur during the performance period due to the recommended 2-6 month interval between doses (i.e, first dose received after october 31)
- M1239 – Patient did not respond to the question of patient felt heard and understood by this provider and team
- M1240 – Patient did not respond to the question of patient felt this provider and team put my best interests first when making recommendations about my care
- M1241 – Patient did not respond to the question of patient felt this provider and team saw me as a person, not just someone with a medical problem
Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.