M1435 HCPCS Level II Code: Patient on oral chemotherapy during the performance period
Medicare Coverage & Payment
- Medicare coverage: Carrier judgment (CMS coverage code C)
- Payment category: Service not separately priced (pricing indicator 00)
- BETOS: Z2
- Effective: January 1, 2026
Source: CMS HCPCS Level II release. Coverage codes indicate how Medicare treats the code, not whether a specific claim will be paid; payer policy and documentation still govern.
Official Registry Overview & Definition
Patient on oral chemotherapy during the performance period is a HCPCS Level II code (M1435) for a Medicare-covered supply, service, or procedure. Short description: Oral chemo in perf pd.
Nearest Codes in This Family
Official HCPCS Level II classifications closest to M1435 in its code family, with their registry titles.
- M1430 — Retinal exam finding without evidence of retinopathy in both eyes with severity level documented (in measurement year or in the prior year)
- M1431 — Encounters conducted via telehealth
- M1432 — Encounters conducted via telehealth
- M1433 — Patient on oral chemotherapy on or within 30 days before denominator eligible encounter
- M1434 — Patient on oral chemotherapy on or within 30 days after denominator eligible encounter
- M1436 — Encounters conducted via telehealth
- M1437 — Encounters conducted via telehealth
- M1438 — Time last known well to hospital arrival less than or equal to 3.5 hours (<= 210 minutes)
- M1439 — Significant ocular conditions that impact the visual outcome of surgery
- M1440 — Encounters conducted via telehealth