Question 1

What is HCPCS code M1450?

Accepted Answer

HCPCS code M1450 is "Pt hos/pal care dur id/pf pd". Patients who received hospice or palliative care service any time during denominator identification period or the measure assessment period

Question 2

What category is M1450 in?

Accepted Answer

M1450 belongs to HCPCS Category M (Medical Services).

Question 3

When should I use HCPCS code M1450?

Accepted Answer

Use M1450 when billing for pt hos/pal care dur id/pf pd. 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 M1450 covered by Medicare?

Accepted Answer

Coverage for M1450 (Pt hos/pal care dur id/pf pd) 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 M1450?

Accepted Answer

Documentation for M1450 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).