Question 1

What is HCPCS code M1241?

Accepted Answer

HCPCS code M1241 is "Pt no resp seen as person". Patient did not respond to the question of patient felt this provider and team saw me as a person, not just someone with a medical problem

Question 2

What category is M1241 in?

Accepted Answer

M1241 belongs to HCPCS Category M (Medical Services).

Question 3

When should I use HCPCS code M1241?

Accepted Answer

Use M1241 when billing for pt no resp seen as person. 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 M1241 covered by Medicare?

Accepted Answer

Coverage for M1241 (Pt no resp seen as person) 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 M1241?

Accepted Answer

Documentation for M1241 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).