Question 1

What is HCPCS code M1377?

Accepted Answer

HCPCS code M1377 is "Fu colscop 10 yr doc w/ disc". Recommended follow-up interval for repeat colonoscopy of 10 years documented in colonoscopy report and communicated with patient

Question 2

What category is M1377 in?

Accepted Answer

M1377 belongs to HCPCS Category M (Medical Services).

Question 3

When should I use HCPCS code M1377?

Accepted Answer

Use M1377 when billing for fu colscop 10 yr doc w/ disc. 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 M1377 covered by Medicare?

Accepted Answer

Coverage for M1377 (Fu colscop 10 yr doc w/ disc) 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 M1377?

Accepted Answer

Documentation for M1377 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).