Question 1

What is HCPCS code M1193?

Accepted Answer

HCPCS code M1193 is "Rpts w/ imp/con mmr/msi". Surgical pathology reports that contain impression or conclusion of or recommendation for testing of mmr by immunohistochemistry, msi by dna-based testing status, or both

Question 2

What category is M1193 in?

Accepted Answer

M1193 belongs to HCPCS Category M (Medical Services).

Question 3

When should I use HCPCS code M1193?

Accepted Answer

Use M1193 when billing for rpts w/ imp/con mmr/msi. 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 M1193 covered by Medicare?

Accepted Answer

Coverage for M1193 (Rpts w/ imp/con mmr/msi) 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 M1193?

Accepted Answer

Documentation for M1193 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).