Question 1

What is HCPCS code M1244?

Accepted Answer

HCPCS code M1244 is "Pt othr thn true best int". Patient provided a response other than "completely true" for 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 M1244 in?

Accepted Answer

M1244 belongs to HCPCS Category M (Medical Services).

Question 3

When should I use HCPCS code M1244?

Accepted Answer

Use M1244 when billing for pt othr thn true 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 M1244 covered by Medicare?

Accepted Answer

Coverage for M1244 (Pt othr thn true 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 M1244?

Accepted Answer

Documentation for M1244 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).