Q: What category is M1322 in?

M1322 belongs to HCPCS Category M (Medical Services).

Q: When should I use HCPCS code M1322?

Use M1322 when billing for pts 7wk inj, scrn iop =<25. 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.

Q: Is M1322 covered by Medicare?

Coverage for M1322 (Pts 7wk inj, scrn iop =<25) 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.

Q: What documentation is required for M1322?

Documentation for M1322 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).

Question 1

What is HCPCS code M1322?

Accepted Answer

HCPCS code M1322 is "Pts 7wk inj, scrn iop =<25". Patients seen within 7 weeks following the date of injection and are screened for elevated intraocular pressure (iop) with tonometry with documented iop =<25 mm hg for injected eye

Question 2

What category is M1322 in?

Accepted Answer

M1322 belongs to HCPCS Category M (Medical Services).

Question 3

When should I use HCPCS code M1322?

Accepted Answer

Use M1322 when billing for pts 7wk inj, scrn iop =<25. 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 M1322 covered by Medicare?

Accepted Answer

Coverage for M1322 (Pts 7wk inj, scrn iop =<25) 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 M1322?

Accepted Answer

Documentation for M1322 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).