M1461 – Patient diagnosis for chronic hepatitis c
HCPCS Level II code · M codes: Medical Services and Quality Measures
HCPCS codeM1461
- Long description
- Patient diagnosis for chronic hepatitis c
- Short description
- Pt dx chron hepc
- 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, 2026
- Last change
- January 1, 2026 – No change
Frequently asked questions
What is HCPCS code M1461?
M1461 is a HCPCS Level II code for patient diagnosis for chronic hepatitis c.
Does Medicare cover M1461?
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
- M1453 – Patients with a pre-operative visual acuity better than 20/40
- M1454 – New cied
- M1455 – Replaced or revised cied
- M1456 – Patient had a heart transplant
- M1457 – Patient had a diagnosis of asthma with any contact during the current or prior performance period or had asthma present on an active problem list any time during the performance period
- M1458 – Patient died prior to the end of the performance period
- M1459 – Patient was in hospice or receiving palliative care services at any time during the performance period
- M1460 – Diagnosis for chronic obstructive pulmonary disease, emphysema, cystic fibrosis, or acute respiratory failure
- M1462 – Patients with clinical indications for imaging of the head
- M1463 – Documentation of at least two attempts to follow up with patient within 180 days of treatment
- M1464 – No documentation of at least two attempts to follow up with patient within 180 days of treatment
- M1465 – Patient follow up more than 180 days after treatment
- M1466 – Patient had a lumbar fusion on the same date as the discectomy/laminectomy procedure
- M1467 – Patients with an existing diagnosis of lynch syndrome
- M1468 – Patient received recommended doses of hepatitis b vaccination based on age
- M1469 – Patient has a history of hepatitis b illness or received a hepatitis b surface antigen, hepatitis b surface antibody, or total antibody to hepatitis b core antigen test with a positive result any time before or during the measurement period
Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.