Question 1

What is HCPCS code M1014?

Accepted Answer

HCPCS code M1014 is "Dc epi care doc medrec". Discharge/discontinuation of the episode of care documented in the medical record

Question 2

What category is M1014 in?

Accepted Answer

M1014 belongs to HCPCS Category M (Medical Services).

Question 3

When should I use HCPCS code M1014?

Accepted Answer

Use M1014 when billing for dc epi care doc medrec. HCPCS Level II codes like this are used for items and services not covered by CPT codes, including medical supplies, equipment, drugs administered in clinical settings, and certain healthcare services.

Question 4

Is M1014 covered by Medicare?

Accepted Answer

Coverage for M1014 (Dc epi care doc medrec) depends on medical necessity and specific Medicare guidelines. Check the applicable Local Coverage Determination (LCD) or National Coverage Determination (NCD) for detailed coverage criteria. Private insurers may have different coverage policies.

Question 5

What documentation is required for M1014?

Accepted Answer

Documentation for M1014 should include: the medical necessity for the item or service, supporting diagnosis codes (ICD-10), prescription or order from the treating physician, and proof that the item meets quality standards. Some items may require additional documentation like a Certificate of Medical Necessity (CMN).