Q: What category is M1358 in?

M1358 belongs to HCPCS Category M (Medical Services).

Q: When should I use HCPCS code M1358?

Use M1358 when billing for pts no <suicd idea 120 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.

Q: Is M1358 covered by Medicare?

Coverage for M1358 (Pts no <suicd idea 120 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.

Q: What documentation is required for M1358?

Documentation for M1358 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 M1358?

Accepted Answer

HCPCS code M1358 is "Pts no <suicd idea 120 dys". Patients who did not have a reduction in suicidal ideation and/or behavior upon follow-up assessment within 120 days of index assessment

Question 2

What category is M1358 in?

Accepted Answer

M1358 belongs to HCPCS Category M (Medical Services).

Question 3

When should I use HCPCS code M1358?

Accepted Answer

Use M1358 when billing for pts no <suicd idea 120 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 M1358 covered by Medicare?

Accepted Answer

Coverage for M1358 (Pts no <suicd idea 120 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 M1358?

Accepted Answer

Documentation for M1358 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).