Other Services HCPCS Code range M1146-M1370

Patient, who has a reactive hcv antibody test, and has a follow up hcv viral test that detected hcv viremia, is referred within 1 month of the reactive hcv antibody test to a clinician who treats hcv infection

Patient has a reactive hcv antibody test and does not have a follow up hcv viral test, or patient has a reactive hcv antibody test and has a follow up hcv viral test that detects hcv viremia and is not referred to a clinician who treats hcv infection within 1 month and does not have hcv treatment initiated within 3 months of the reactive hcv antibody test, reason not given

Patient receives hcv antibody test with nonreactive result

Patient receives hcv antibody test with reactive result

Patient does not receive hcv antibody test or patient does receive hcv antibody test but results not documented, reason not given

Patient has a reactive hcv antibody test, and has a follow up hcv viral test that does not detect hcv viremia

Documentation or patient report of hcv antibody test or hcv rna test which occurred prior to the performance period

Baseline mrs > 2

Patient reason for not screening for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety (e.g., patient declined or other patient reasons)

Documentation that administration of second recombinant zoster vaccine could not occur during the performance period due to the recommended 2-6 month interval between doses (i.e, first dose received after october 31)