Question 1

What is HCPCS code M1053?

Accepted Answer

HCPCS code M1053 is "Pre and post vas wthn 3 mos". Leg pain was measured by the visual analog scale (vas) within three months preoperatively and at one year (9 to 15 months) postoperatively

Question 2

What category is M1053 in?

Accepted Answer

M1053 belongs to HCPCS Category M (Medical Services).

Question 3

When should I use HCPCS code M1053?

Accepted Answer

Use M1053 when billing for pre and post vas wthn 3 mos. 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 M1053 covered by Medicare?

Accepted Answer

Coverage for M1053 (Pre and post vas wthn 3 mos) 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 M1053?

Accepted Answer

Documentation for M1053 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).