Q: What category is M1372 in?

M1372 belongs to HCPCS Category M (Medical Services).

Q: When should I use HCPCS code M1372?

Use M1372 when billing for mst rec gsa >=7 and<8. 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 M1372 covered by Medicare?

Coverage for M1372 (Mst rec gsa >=7 and<8) 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 M1372?

Documentation for M1372 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 M1372?

Accepted Answer

HCPCS code M1372 is "Mst rec gsa >=7 and<8". Most recent glycemic status assessment (hba1c or gmi) level >= 7.0% and < 8.0%

Question 2

What category is M1372 in?

Accepted Answer

M1372 belongs to HCPCS Category M (Medical Services).

Question 3

When should I use HCPCS code M1372?

Accepted Answer

Use M1372 when billing for mst rec gsa >=7 and<8. 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 M1372 covered by Medicare?

Accepted Answer

Coverage for M1372 (Mst rec gsa >=7 and<8) 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 M1372?

Accepted Answer

Documentation for M1372 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).