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…
M1469 is the HCPCS code for “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…” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
M1469Patient 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
Short description: Hx of hep b, or pos bld test
HCPCS · United States
Medicare details
The indicators CMS publishes with M1469 in its October 2026 file. They describe Medicare’s handling, not another payer’s.
- Medicare coverage
- Carrier judgment
- Medicare pricing
- Service not separately priced by Part B (e.g., services not covered, bundled, used by Part A only, etc.)
- Type of service
- Medical care
- BETOS category
- Undefined codes
- Added
- Jan 1, 2026
Where M1469 sits
- 1M codesMedical services and quality measures
- 2Active code M1469Patient 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
Source and release
- Data release
- HCPCS Level II · October 2026
- Effective date
- Oct 1, 2026
- Publisher
- CMS
This page is built from the HCPCS Level II catalog that Vero Codes reads when it suggests codes: Centers for Medicare & Medicaid Services’s October 2026 release, imported from the publisher’s file and checked against it. The description, notes and structured data come from the same record.
Frequently asked questions
What does HCPCS code M1469 mean?
M1469 is the HCPCS code for “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” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover M1469?
CMS lists M1469’s Medicare coverage as “Carrier judgment” and its pricing as “Service not separately priced by Part B (e.g., services not covered, bundled, used by Part A only, etc.)”. Coverage and payment still depend on the patient, the setting, the documentation and the payer.
Which HCPCS Level II release does this page use?
It uses CMS’s October 2026 release, in effect from Oct 1, 2026 to Dec 31, 2026. It is a reference: confirm the code against the current list and the payer’s rules before you submit it.
Codes beside M1469
All M codesM1463Documentation of at least two attempts to follow up with patient within 180 days of treatmentM1464No documentation of at least two attempts to follow up with patient within 180 days of treatmentM1465Patient follow up more than 180 days after treatmentM1466Patient had a lumbar fusion on the same date as the discectomy/laminectomy procedureM1467Patients with an existing diagnosis of lynch syndromeM1468Patient received recommended doses of hepatitis b vaccination based on ageM1470Documentation of medical reason(s) for not administering hepatitis b vaccine (e.g., prior anaphylaxis due to the hepatitis b vaccine)M1471Documentation that patient is a medicare fee-for-service beneficiary and without additional supplementary insurance coverage for whom hep b vaccination is not reimbursable under…M1472Patient did not receive recommended doses of hepatitis b vaccination based on ageM1473Patient 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…M1474Patients with diagnosis of dementiaM1475Patients with diagnosis of huntington's disease