Question 1

What is HCPCS code M1471?

Accepted Answer

HCPCS code M1471 is "Ffs hep b not covered". Documentation that patient is a medicare fee-for-service beneficiary and without additional supplementary insurance coverage for whom hep b vaccination is not reimbursable under current medicare part b coverage rules

Question 2

What category is M1471 in?

Accepted Answer

M1471 belongs to HCPCS Category M (Medical Services).

Question 3

When should I use HCPCS code M1471?

Accepted Answer

Use M1471 when billing for ffs hep b not covered. 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 M1471 covered by Medicare?

Accepted Answer

Coverage for M1471 (Ffs hep b not covered) 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 M1471?

Accepted Answer

Documentation for M1471 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).