Question 1

What is HCPCS code M1332?

Accepted Answer

HCPCS code M1332 is "Pts no eval ini xm no 2 wks". Patients who were not appropriately evaluated during the initial exam and/or who were not re-evaluated within 2 weeks

Question 2

What category is M1332 in?

Accepted Answer

M1332 belongs to HCPCS Category M (Medical Services).

Question 3

When should I use HCPCS code M1332?

Accepted Answer

Use M1332 when billing for pts no eval ini xm no 2 wks. 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 M1332 covered by Medicare?

Accepted Answer

Coverage for M1332 (Pts no eval ini xm no 2 wks) 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 M1332?

Accepted Answer

Documentation for M1332 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).