M1429 – Retinal exam finding with evidence of retinopathy in left, right or both eyes with severity level documented

HCPCS Level II code · M codes: Medical Services and Quality Measures

Active code Carrier judgment

HCPCS codeM1429
Long description
Retinal exam finding with evidence of retinopathy in left, right or both eyes with severity level documented
Short description
Retinopathy in od, os, ou
Pricing indicator
00 Not separately priced by Part B (bundled, not covered or Part A only)
Medicare coverage
C Carrier judgment – coverage decided by the Medicare contractor
BETOS category
Z2 Undefined codes
Added
January 1, 2026
Last change
January 1, 2026 – No change

Frequently asked questions

What is HCPCS code M1429?

M1429 is a HCPCS Level II code for retinal exam finding with evidence of retinopathy in left, right or both eyes with severity level documented.

Does Medicare cover M1429?

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

Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.