Question 1

What is HCPCS code M1453?

Accepted Answer

HCPCS code M1453 is "Preop vis acu > 20/40". Patients with a pre-operative visual acuity better than 20/40

Question 2

What category is M1453 in?

Accepted Answer

M1453 belongs to HCPCS Category M (Medical Services).

Question 3

When should I use HCPCS code M1453?

Accepted Answer

Use M1453 when billing for preop vis acu > 20/40. 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 M1453 covered by Medicare?

Accepted Answer

Coverage for M1453 (Preop vis acu > 20/40) 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 M1453?

Accepted Answer

Documentation for M1453 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).