Q: What category is M1214 in?

M1214 belongs to HCPCS Category M (Medical Services).

Q: When should I use HCPCS code M1214?

Use M1214 when billing for spiro results wth obs doc. 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 M1214 covered by Medicare?

Coverage for M1214 (Spiro results wth obs doc) 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 M1214?

Documentation for M1214 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 M1214?

Accepted Answer

HCPCS code M1214 is "Spiro results wth obs doc". Spirometry results with confirmed airflow obstruction (fev1/fvc < 70%) documented and reviewed

Question 2

What category is M1214 in?

Accepted Answer

M1214 belongs to HCPCS Category M (Medical Services).

Question 3

When should I use HCPCS code M1214?

Accepted Answer

Use M1214 when billing for spiro results wth obs doc. 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 M1214 covered by Medicare?

Accepted Answer

Coverage for M1214 (Spiro results wth obs doc) 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 M1214?

Accepted Answer

Documentation for M1214 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).