Question 1

What is HCPCS code M1310?

Accepted Answer

HCPCS code M1310 is "Pt scr tob & cess int". Patient screened for tobacco use and received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling, pharmacotherapy, or both), if identified as a tobacco user

Question 2

What category is M1310 in?

Accepted Answer

M1310 belongs to HCPCS Category M (Medical Services).

Question 3

When should I use HCPCS code M1310?

Accepted Answer

Use M1310 when billing for pt scr tob & cess 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 M1310 covered by Medicare?

Accepted Answer

Coverage for M1310 (Pt scr tob & cess 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 M1310?

Accepted Answer

Documentation for M1310 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).