Question 1

What is HCPCS code M1289?

Accepted Answer

HCPCS code M1289 is "No pt tbco cess interv rng". Patient identified as tobacco user did not receive tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy)

Question 2

What category is M1289 in?

Accepted Answer

M1289 belongs to HCPCS Category M (Medical Services).

Question 3

When should I use HCPCS code M1289?

Accepted Answer

Use M1289 when billing for no pt tbco cess interv rng. 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 M1289 covered by Medicare?

Accepted Answer

Coverage for M1289 (No pt tbco cess interv rng) 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 M1289?

Accepted Answer

Documentation for M1289 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).