Question 1

What is HCPCS code M1041?

Accepted Answer

HCPCS code M1041 is "Pt cr ft inf lm or pt id sl". Patient had cancer, acute fracture or infection related to the lumbar spine or patient had neuromuscular, idiopathic or congenital lumbar scoliosis

Question 2

What category is M1041 in?

Accepted Answer

M1041 belongs to HCPCS Category M (Medical Services).

Question 3

When should I use HCPCS code M1041?

Accepted Answer

Use M1041 when billing for pt cr ft inf lm or pt id sl. 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 M1041 covered by Medicare?

Accepted Answer

Coverage for M1041 (Pt cr ft inf lm or pt id sl) 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 M1041?

Accepted Answer

Documentation for M1041 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).