HCPCS Code M1485
Patients who did not achieve sustained virological response as identified by an hcv rna test (cpt 87522) or (cpt 87521) with a negative/undetectable hcv rna result that occurred 20 weeks to 12 months after the first positive/detectable hcv rna test result within the denominator identification period
| Short Description | Neg viro resp hep c/qual rna |
|---|---|
| Year | 2026 |
| Coverage Code | C = Carrier judgment |
| Action Code | A = Add procedure or modifier code |
| Action Effective Date | January 01, 2026 |
| Code Added Date | January 01, 2026 |
| Pricing Indicator | 00 = Service not separately priced by Part B (e.g., services not covered, bundled, used by part a only, etc.) |
| Type of Service | 1 = Medical care |