Question 1

What is HCPCS code M1048?

Accepted Answer

HCPCS code M1048 is "Fsm wth scr odi pre and post". Functional status measurement with score was obtained utilizing the oswestry disability index (odi version 2.1a) patient reported outcome tool within three months preoperatively and at three months (6 to 20 weeks) postoperatively

Question 2

What category is M1048 in?

Accepted Answer

M1048 belongs to HCPCS Category M (Medical Services).

Question 3

When should I use HCPCS code M1048?

Accepted Answer

Use M1048 when billing for fsm wth scr odi 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 M1048 covered by Medicare?

Accepted Answer

Coverage for M1048 (Fsm wth scr odi 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 M1048?

Accepted Answer

Documentation for M1048 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).