Question 1

What is HCPCS code M1344?

Accepted Answer

HCPCS code M1344 is "No bsln/2nd pam score 4-12mo". Patients who did not have a baseline pam score and/or a second score within 4 to 12 months of baseline pam score

Question 2

What category is M1344 in?

Accepted Answer

M1344 belongs to HCPCS Category M (Medical Services).

Question 3

When should I use HCPCS code M1344?

Accepted Answer

Use M1344 when billing for no bsln/2nd pam score 4-12mo. 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 M1344 covered by Medicare?

Accepted Answer

Coverage for M1344 (No bsln/2nd pam score 4-12mo) 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 M1344?

Accepted Answer

Documentation for M1344 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).