Question 1

What is HCPCS code M1018?

Accepted Answer

HCPCS code M1018 is "Pt dx hst cr pt sk lg cr scr". Patients with an active diagnosis or history of cancer (except basal cell and squamous cell skin carcinoma), patients who are heavy tobacco smokers, lung cancer screening patients

Question 2

What category is M1018 in?

Accepted Answer

M1018 belongs to HCPCS Category M (Medical Services).

Question 3

When should I use HCPCS code M1018?

Accepted Answer

Use M1018 when billing for pt dx hst cr pt sk lg cr scr. 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 M1018 covered by Medicare?

Accepted Answer

Coverage for M1018 (Pt dx hst cr pt sk lg cr scr) 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 M1018?

Accepted Answer

Documentation for M1018 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).