Question 1

What is HCPCS code M1353?

Accepted Answer

HCPCS code M1353 is "Pts no cmplt suicd saf pln". Patients who did not have a completed suicide safety plan initiated, reviewed or updated in collaboration with their clinician (concurrent or within 24 hours) of the index clinical encounter

Question 2

What category is M1353 in?

Accepted Answer

M1353 belongs to HCPCS Category M (Medical Services).

Question 3

When should I use HCPCS code M1353?

Accepted Answer

Use M1353 when billing for pts no cmplt suicd saf pln. 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 M1353 covered by Medicare?

Accepted Answer

Coverage for M1353 (Pts no cmplt suicd saf pln) 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 M1353?

Accepted Answer

Documentation for M1353 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).