M1483 — Patients who 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
M1483 is a HCPCS Level II code for patients who 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. It belongs to the Medical Services section. Whether Medicare pays it depends on the coverage rule below.
Medicare coverage: Carrier judgment
Coverage is decided by your Medicare contractor, not by national policy. Whether this is paid depends on the LCD for your jurisdiction and on what the documentation supports.
From the coverage field of the CMS Alpha-Numeric HCPCS File, release 2026Q3-Jul. This states Medicare’s position on the code, not on your particular claim.
Physician fee schedule statusM
Measurement code. Used for reporting purposes only; never paid.
Global period: XXX
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The CMS record for M1483
- Long descriptor
- Patients who 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 descriptor
- Neg quan hep c or qual rna
- Added
- January 1, 2026
- BETOS
- Z2
- Pricing indicator
- 00 — Not priced by Part B
The official wording. This is what the code means.
CMS's 28-character form, which is what shows up on a remittance advice.
When CMS introduced the code.
Berenson-Eggers Type of Service — CMS's own analytic grouping.
Service not separately priced by Part B — not covered, bundled into another service, or used by Part A only.
Codes adjacent to M1483
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If M1483 is not quite right, the correct code is very often within a few positions of it.
- M1475Patients with diagnosis of huntington's disease
- M1476Patients with diagnosis of cognitive impairment or alzheimer's disease
- M1477Diagnosis of delirium
- M1478Psychoactive substance abuse
- M1479Patients whose functional capacity or motivation (or lack thereof) to improve may impact the accuracy of results of validated tools such as delirium, dementia, intellectual disabilities, and pervasive and specific development disorders
- M1480Patients whose functional capacity or motivation (or lack thereof) to improve may impact the accuracy of results of validated tools such as delirium, dementia, intellectual disabilities, and pervasive and specific development disorders
- M1481Patients receiving hospice or palliative care or who died during the measurement period
- M1482Positive/detectable hepatitis c virus quantitative or qualitative rna test result during the denominator identification period
- M1484Patients who did not have a repeat hcv rna labs performed for medical reasons documented by clinician (e.g., patient with limited life expectancy, delay in treatment of hcv related to treatment of hiv, hbv, hepatocellular carcinoma, decompensated cirrhosis)
- M1485Patients 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
- M1486Patients admitted to a skilled nursing facility (snf) during the period of evaluation
- M1487Patients in hospice in the year before or during the period of evaluation
- M1488Patients with a diagnosis for dementia in the year before or during the period of evaluation
- M1489Patient status documented
- M1490Patient status not documented
- M1491Receiving esrd mcp dialysis services by the provider during the performance period
Questions about M1483
What is HCPCS code M1483?
M1483 is a HCPCS Level II code for patients who 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. It sits in the Medical Services section.
Does Medicare cover M1483?
The CMS HCPCS file marks M1483 as "Carrier judgment". Coverage is decided by your Medicare contractor, not by national policy. Whether this is paid depends on the LCD for your jurisdiction and on what the documentation supports.
How is M1483 paid under the physician fee schedule?
M1483 carries PFS status code M. Measurement code. Used for reporting purposes only; never paid.