Question 1

What is HCPCS code M1359?

Accepted Answer

HCPCS code M1359 is "Indx suicd idea, no 0 scr". Index assessment during the denominator period when the suicidal ideation and/or behavior symptoms or increased suicide risk by clinician determination occurs and a non-zero c-ssrs score is obtained

Question 2

What category is M1359 in?

Accepted Answer

M1359 belongs to HCPCS Category M (Medical Services).

Question 3

When should I use HCPCS code M1359?

Accepted Answer

Use M1359 when billing for indx suicd idea, no 0 scr. 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 M1359 covered by Medicare?

Accepted Answer

Coverage for M1359 (Indx suicd idea, no 0 scr) 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 M1359?

Accepted Answer

Documentation for M1359 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).