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HCPCS Level II/M-Codes/M1469

M1469 HCPCS Level II Code: 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

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 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 is a HCPCS Level II code (M1469) for a Medicare-covered supply, service, or procedure. Short description: Hx of hep b, or pos bld test.

Nearest Codes in This Family

Official HCPCS Level II classifications closest to M1469 in its code family, with their registry titles.

  • 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
  • M1470 — Documentation of medical reason(s) for not administering hepatitis b vaccine (e.g., prior anaphylaxis due to the hepatitis b vaccine)
  • M1471 — Documentation that patient is a medicare fee-for-service beneficiary and without additional supplementary insurance coverage for whom hep b vaccination is not reimbursable under current medicare part b coverage rules
  • M1472 — Patient did not receive recommended doses of hepatitis b vaccination based on age
  • M1473 — Patient situations, at any point during the denominator identification period, where the patient's 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
  • M1474 — Patients with diagnosis of dementia