Question 1

What is HCPCS code M1047?

Accepted Answer

HCPCS code M1047 is "Fs msrd oks pre and post". Functional status was measured by the oxford knee score (oks) patient reported outcome tool within three months preoperatively and at one year (9 to 15 months) postoperatively

Question 2

What category is M1047 in?

Accepted Answer

M1047 belongs to HCPCS Category M (Medical Services).

Question 3

When should I use HCPCS code M1047?

Accepted Answer

Use M1047 when billing for fs msrd oks pre and post. 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 M1047 covered by Medicare?

Accepted Answer

Coverage for M1047 (Fs msrd oks pre and post) 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 M1047?

Accepted Answer

Documentation for M1047 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).