Question 1

What is HCPCS code M1329?

Accepted Answer

HCPCS code M1329 is "Pts act pvd 2 wks 8 wks". Patients with a post-operative encounter of the eye with the acute pvd within 2 weeks before the initial encounter or 8 weeks after initial acute pvd encounter

Question 2

What category is M1329 in?

Accepted Answer

M1329 belongs to HCPCS Category M (Medical Services).

Question 3

When should I use HCPCS code M1329?

Accepted Answer

Use M1329 when billing for pts act pvd 2 wks 8 wks. 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 M1329 covered by Medicare?

Accepted Answer

Coverage for M1329 (Pts act pvd 2 wks 8 wks) 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 M1329?

Accepted Answer

Documentation for M1329 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).