HCPCS Code M1429

Retinal exam finding with evidence of retinopathy in left, right or both eyes with severity level documented
Short DescriptionRetinopathy in od, os, ou
Year2026
Coverage CodeC = Carrier judgment
Action CodeA = Add procedure or modifier code
Action Effective DateJanuary 01, 2026
Code Added DateJanuary 01, 2026
Pricing Indicator00 = Service not separately priced by Part B (e.g., services not covered, bundled, used by part a only, etc.)
Type of Service1 = Medical care