Question 1

What is HCPCS code M1149?

Accepted Answer

HCPCS code M1149 is "No neck fs prom incap". Patient unable to complete the neck fs prom at initial evaluation and/or discharge due to blindness, illiteracy, severe mental incapacity or language incompatibility, and an adequate proxy is not available

Question 2

What category is M1149 in?

Accepted Answer

M1149 belongs to HCPCS Category M (Medical Services).

Question 3

When should I use HCPCS code M1149?

Accepted Answer

Use M1149 when billing for no neck fs prom incap. 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 M1149 covered by Medicare?

Accepted Answer

Coverage for M1149 (No neck fs prom incap) 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 M1149?

Accepted Answer

Documentation for M1149 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).