M1484 : HCPCS Code (2026) : XML

M1484 : Patients 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) ( No rpt hcv rna perf med rsn )

HCPCS Code : M1484 – XML Data Format

                
<?xml version="1.0" encoding="UTF-8"?>
<HCPCS>
	<HCPC>
		M1484
	</HCPC>
	<LongDescription>
		Patients 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)
	</LongDescription>
	<ShortDescription>
		No rpt hcv rna perf med rsn
	</ShortDescription>
	<PricingIndicators>
		<PricingIndicator>
			<PricingIndicatorName>
				00
			</PricingIndicatorName>
			<PricingIndicatorCode>
				Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)
			</PricingIndicatorCode>
		</PricingIndicator>
	</PricingIndicators>
	<MPI>
		9
	</MPI>
	<MultiplePricingIndicatorCode>
		Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is &#39;99&#39;)
	</MultiplePricingIndicatorCode>
	<CIMs/>
	<MCMs>
	</MCMs>
	<Statute/>
	<LabCertifications/>
	<XReferences/>
	<Coverage>
		C
	</Coverage>
	<CoverageDescription>
		Carrier judgment
	</CoverageDescription>
	<ASCPayGrp/>
	<ASCPayGrpEffDate/>
	<MOGPayGrp/>
	<MOGPaymentGroupCode/>
	<MOGPayInd/>
	<MOGPaymentPolicyIndicator/>
	<MOGEffDate/>
	<ProcNote/>
	<BETOS>
		Z2
	</BETOS>
	<BETOSDescription>
		Undefined codes
	</BETOSDescription>
	<TypeOfServices>
		<TypeOfService>
			<TOS>
				1
			</TOS>
			<TypeOfServiceCode>
				Medical care
			</TypeOfServiceCode>
		</TypeOfService>
	</TypeOfServices>
	<AnestBaseUnits>
		0
	</AnestBaseUnits>
	<CodeAddDate>
		20260101
	</CodeAddDate>
	<ActionEffDate>
		20260101
	</ActionEffDate>
	<TermDate/>
	<ActionCode>
		N
	</ActionCode>
	<ActionCodeDescription>
		No maintenance for this code
	</ActionCodeDescription>
</HCPCS>

                
            

HCPCS XML XSD Schema

                
<xs:schema attributeFormDefault="unqualified" elementFormDefault="qualified" xmlns:xs="http://www.w3.org/2001/XMLSchema">
  <xs:element name="HCPCS">
    <xs:complexType>
      <xs:sequence>
        <xs:element type="xs:string" name="HCPC"/>
        <xs:element type="xs:string" name="LongDescription"/>
        <xs:element type="xs:string" name="ShortDescription"/>
        <xs:element name="PricingIndicators">
          <xs:complexType>
            <xs:sequence>
              <xs:element name="PricingIndicator" maxOccurs="unbounded" minOccurs="0">
                <xs:complexType>
                  <xs:sequence>
                    <xs:element type="xs:string" name="PricingIndicatorName"/>
                    <xs:element type="xs:string" name="PricingIndicatorCode"/>
                  </xs:sequence>
                </xs:complexType>
              </xs:element>
            </xs:sequence>
          </xs:complexType>
        </xs:element>
        <xs:element type="xs:string" name="MPI"/>
        <xs:element type="xs:string" name="MultiplePricingIndicatorCode"/>
        <xs:element name="CIMs">
          <xs:complexType>
            <xs:sequence>
              <xs:element type="xs:string" name="CIM" maxOccurs="unbounded" minOccurs="0"/>
            </xs:sequence>
          </xs:complexType>
        </xs:element>
        <xs:element name="MCMs">
          <xs:complexType>
            <xs:sequence>
              <xs:element type="xs:string" name="MCM" maxOccurs="unbounded" minOccurs="0"/>
            </xs:sequence>
          </xs:complexType>
        </xs:element>
        <xs:element type="xs:string" name="Statute"/>
        <xs:element name="LabCertifications">
          <xs:complexType>
            <xs:sequence>
              <xs:element name="LabCertification" maxOccurs="unbounded" minOccurs="0">
                <xs:complexType>
                  <xs:sequence>
                    <xs:element type="xs:string" name="LabCert"/>
                    <xs:element type="xs:string" name="LabCertificationCode"/>
                  </xs:sequence>
                </xs:complexType>
              </xs:element>
            </xs:sequence>
          </xs:complexType>
        </xs:element>
        <xs:element name="XReferences">
          <xs:complexType>
            <xs:sequence>
              <xs:element name="XReference" maxOccurs="unbounded" minOccurs="0">
                <xs:complexType>
                  <xs:sequence>
                    <xs:element type="xs:string" name="XRef"/>
                    <xs:element type="xs:string" name="XRefDescription"/>
                  </xs:sequence>
                </xs:complexType>
              </xs:element>
            </xs:sequence>
          </xs:complexType>
        </xs:element>
        <xs:element type="xs:string" name="Coverage"/>
        <xs:element type="xs:string" name="CoverageDescription"/>
        <xs:element type="xs:string" name="ASCPayGrp"/>
        <xs:element type="xs:string" name="ASCPayGrpEffDate"/>
        <xs:element type="xs:string" name="MOGPayGrp"/>
        <xs:element type="xs:string" name="MOGPaymentGroupCode"/>
        <xs:element type="xs:string" name="MOGPayInd"/>
        <xs:element type="xs:string" name="MOGPaymentPolicyIndicator"/>
        <xs:element type="xs:string" name="MOGEffDate"/>
        <xs:element type="xs:string" name="ProcNote"/>
        <xs:element type="xs:string" name="BETOS"/>
        <xs:element type="xs:string" name="BETOSDescription"/>
        <xs:element name="TypeOfServices">
          <xs:complexType>
            <xs:sequence>
              <xs:element name="TypeOfService" maxOccurs="unbounded" minOccurs="0">
                <xs:complexType>
                  <xs:sequence>
                    <xs:element type="xs:string" name="TOS"/>
                    <xs:element type="xs:string" name="TypeOfServiceCode"/>
                  </xs:sequence>
                </xs:complexType>
              </xs:element>
            </xs:sequence>
          </xs:complexType>
        </xs:element>
        <xs:element type="xs:string" name="AnestBaseUnits"/>
        <xs:element type="xs:float" name="CodeAddDate"/>
        <xs:element type="xs:float" name="ActionEffDate"/>
        <xs:element type="xs:string" name="TermDate"/>
        <xs:element type="xs:string" name="ActionCode"/>
        <xs:element type="xs:string" name="ActionCodeDescription"/>
      </xs:sequence>
    </xs:complexType>
  </xs:element>
</xs:schema>