Question 1

What is HCPCS code M1148?

Accepted Answer

HCPCS code M1148 is "Pt self dschg". Ongoing care not possible because the patient self-discharged early (e.g., financial or insurance reasons, transportation problems, or reason unknown)

Question 2

What category is M1148 in?

Accepted Answer

M1148 belongs to HCPCS Category M (Medical Services).

Question 3

When should I use HCPCS code M1148?

Accepted Answer

Use M1148 when billing for pt self dschg. 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 M1148 covered by Medicare?

Accepted Answer

Coverage for M1148 (Pt self dschg) 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 M1148?

Accepted Answer

Documentation for M1148 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).