Question 1

What is HCPCS code M1265?

Accepted Answer

HCPCS code M1265 is "Cms 2728 completed". Cms medical evidence form 2728 for dialysis patients: initial form completed

Question 2

What category is M1265 in?

Accepted Answer

M1265 belongs to HCPCS Category M (Medical Services).

Question 3

When should I use HCPCS code M1265?

Accepted Answer

Use M1265 when billing for cms 2728 completed. 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 M1265 covered by Medicare?

Accepted Answer

Coverage for M1265 (Cms 2728 completed) 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 M1265?

Accepted Answer

Documentation for M1265 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).