Question 1

What is HCPCS code M1107?

Accepted Answer

HCPCS code M1107 is "Docu dx degen neuro". Documentation stating patient has a diagnosis of a degenerative neurological condition such as als, ms, or parkinson's diagnosed at any time before or during the episode of care

Question 2

What category is M1107 in?

Accepted Answer

M1107 belongs to HCPCS Category M (Medical Services).

Question 3

When should I use HCPCS code M1107?

Accepted Answer

Use M1107 when billing for docu dx degen neuro. 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 M1107 covered by Medicare?

Accepted Answer

Coverage for M1107 (Docu dx degen neuro) 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 M1107?

Accepted Answer

Documentation for M1107 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).