Question 1

What is HCPCS code M1399?

Accepted Answer

HCPCS code M1399 is "Pt lve prac". Patients who leave the practice during the follow-up period

Question 2

What category is M1399 in?

Accepted Answer

M1399 belongs to HCPCS Category M (Medical Services).

Question 3

When should I use HCPCS code M1399?

Accepted Answer

Use M1399 when billing for pt lve prac. 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 M1399 covered by Medicare?

Accepted Answer

Coverage for M1399 (Pt lve prac) 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 M1399?

Accepted Answer

Documentation for M1399 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).