Question 1

What is HCPCS code M1341?

Accepted Answer

HCPCS code M1341 is "Pt no f/u 30-180 dys". Patients who did not have a follow-up assessment or did not have an assessment within 30 to 180 days after the index assessment during the performance period

Question 2

What category is M1341 in?

Accepted Answer

M1341 belongs to HCPCS Category M (Medical Services).

Question 3

When should I use HCPCS code M1341?

Accepted Answer

Use M1341 when billing for pt no f/u 30-180 dys. 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 M1341 covered by Medicare?

Accepted Answer

Coverage for M1341 (Pt no f/u 30-180 dys) 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 M1341?

Accepted Answer

Documentation for M1341 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).