Question 1

What is HCPCS code M1252?

Accepted Answer

HCPCS code M1252 is "Pts no cmplt hu survey". Patients who did not complete at least one of the four patient experience hu survey items and return the hu survey within 60 days of the ambulatory palliative care visit

Question 2

What category is M1252 in?

Accepted Answer

M1252 belongs to HCPCS Category M (Medical Services).

Question 3

When should I use HCPCS code M1252?

Accepted Answer

Use M1252 when billing for pts no cmplt hu survey. 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 M1252 covered by Medicare?

Accepted Answer

Coverage for M1252 (Pts no cmplt hu survey) 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 M1252?

Accepted Answer

Documentation for M1252 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).