Question 1

What is HCPCS code M1276?

Accepted Answer

HCPCS code M1276 is "Calc bmi out nrm param nof/u". Bmi documented outside normal parameters, no follow-up plan documented, no reason given

Question 2

What category is M1276 in?

Accepted Answer

M1276 belongs to HCPCS Category M (Medical Services).

Question 3

When should I use HCPCS code M1276?

Accepted Answer

Use M1276 when billing for calc bmi out nrm param nof/u. 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 M1276 covered by Medicare?

Accepted Answer

Coverage for M1276 (Calc bmi out nrm param nof/u) 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 M1276?

Accepted Answer

Documentation for M1276 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).