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M1004

Doc med rsn no srn tb

Documentation of medical reason for not screening for tb or interpreting results (i.e., patient positive for tb and documentation of past treatment; patient who has recently completed a course of anti-tb therapy)

Code system
HCPCS Level II
Status
Active
Billable
Yes
In effect from
2019-01-01
Request
curl https://api.healthcare.dev/v1/codes/hcpcs/M1004 \
  -H "Authorization: Bearer $HDEV_API_KEY"
200 OK · application/json
{
  "data": {
    "code": "M1004",
    "parent": null,
    "status": "active",
    "system": "hcpcs",
    "display": "Doc med rsn no srn tb",
    "billable": true,
    "attributes": {
      "betos": "Z2",
      "coverage": "C",
      "action_code": "N",
      "type_of_service": "1",
      "pricing_indicator": "00",
      "action_effective_date": "2019-01-01"
    },
    "description": "Documentation of medical reason for not screening for tb or interpreting results (i.e., patient positive for tb and documentation of past treatment; patient who has recently completed a course of anti-tb therapy)",
    "replaced_by": [],
    "effective_end": null,
    "effective_start": "2019-01-01",
    "care_categories": [],
    "care_category_details": []
  },
  "meta": {
    "source": "cms-hcpcs",
    "data_version": "2026-10"
  }
}

CMS attributes

M1004 in the HCPCS file

betos
Z2
coverage
C
action code
N
type of service
1
pricing indicator
00
action effective date
2019-01-01

Change history

Lifecycle

M1004 has been in effect since 2019-01-01. This page shows HCPCS Level II release 2026-10.

Add as_of=YYYY-MM-DD to the request to get this code exactly as it was on a past date. The change feed (GET /v1/changes) lists what each release added, changed or retired across the whole dataset; a per-code change list isn't published yet.

Use it

Look up M1004 from code or an agent

curl
curl https://api.healthcare.dev/v1/codes/hcpcs/M1004 \
  -H "Authorization: Bearer $HDEV_API_KEY"
MCP prompt
Using the healthcare.dev MCP server, look up HCPCS Level II code M1004. Tell me what it covers, whether it is active and since when, and any CMS attributes it has.

Source: CMS, release 2026-10. Public domain (D-series CDT codes excluded). Reference data, not medical or billing advice.