Q: What category is M1150 in?

M1150 belongs to HCPCS Category M (Medical Services).

Q: When should I use HCPCS code M1150?

Use M1150 when billing for lvef <=40% or mod/sev l vsf. 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.

Q: Is M1150 covered by Medicare?

Coverage for M1150 (Lvef <=40% or mod/sev l vsf) 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.

Q: What documentation is required for M1150?

Documentation for M1150 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).

Question 1

What is HCPCS code M1150?

Accepted Answer

HCPCS code M1150 is "Lvef <=40% or mod/sev l vsf". Current or prior left ventricular ejection fraction (lvef) less than or equal to 40% or documentation of moderately or severely depressed left ventricular systolic function

Question 2

What category is M1150 in?

Accepted Answer

M1150 belongs to HCPCS Category M (Medical Services).

Question 3

When should I use HCPCS code M1150?

Accepted Answer

Use M1150 when billing for lvef <=40% or mod/sev l vsf. 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 M1150 covered by Medicare?

Accepted Answer

Coverage for M1150 (Lvef <=40% or mod/sev l vsf) 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 M1150?

Accepted Answer

Documentation for M1150 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).