Question 1

What is HCPCS code M1208?

Accepted Answer

HCPCS code M1208 is "Pt no scrn sdoh". Patient is not screened for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety

Question 2

What category is M1208 in?

Accepted Answer

M1208 belongs to HCPCS Category M (Medical Services).

Question 3

When should I use HCPCS code M1208?

Accepted Answer

Use M1208 when billing for pt no scrn sdoh. 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 M1208 covered by Medicare?

Accepted Answer

Coverage for M1208 (Pt no scrn sdoh) 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 M1208?

Accepted Answer

Documentation for M1208 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).