Question 1

What is HCPCS code M1249?

Accepted Answer

HCPCS code M1249 is "Pt resp true imprt to me". Patient responded "completely true" for the question of patient felt this provider and team understood what is important to me in my life

Question 2

What category is M1249 in?

Accepted Answer

M1249 belongs to HCPCS Category M (Medical Services).

Question 3

When should I use HCPCS code M1249?

Accepted Answer

Use M1249 when billing for pt resp true imprt to me. 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 M1249 covered by Medicare?

Accepted Answer

Coverage for M1249 (Pt resp true imprt to me) 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 M1249?

Accepted Answer

Documentation for M1249 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).