Question 1

What is HCPCS code M1049?

Accepted Answer

HCPCS code M1049 is "Fs wth scr no odi pre and p". Functional status was not measured by the oswestry disability index (odi version 2.1a) at three months (6 - 20 weeks) postoperatively

Question 2

What category is M1049 in?

Accepted Answer

M1049 belongs to HCPCS Category M (Medical Services).

Question 3

When should I use HCPCS code M1049?

Accepted Answer

Use M1049 when billing for fs wth scr no odi pre and p. 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 M1049 covered by Medicare?

Accepted Answer

Coverage for M1049 (Fs wth scr no odi pre and p) 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 M1049?

Accepted Answer

Documentation for M1049 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).