Question 1

What is HCPCS code M1240?

Accepted Answer

HCPCS code M1240 is "Pt no resp best int". Patient did not respond to the question of patient felt this provider and team put my best interests first when making recommendations about my care

Question 2

What category is M1240 in?

Accepted Answer

M1240 belongs to HCPCS Category M (Medical Services).

Question 3

When should I use HCPCS code M1240?

Accepted Answer

Use M1240 when billing for pt no resp best int. 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 M1240 covered by Medicare?

Accepted Answer

Coverage for M1240 (Pt no resp best int) 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 M1240?

Accepted Answer

Documentation for M1240 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).