Question 1

What is HCPCS code M1354?

Accepted Answer

HCPCS code M1354 is "Pt no suicd saf pln 120dy". Patients who did not have a suicide safety plan initiated, reviewed, or updated or reviewed and updated in collaboration with the patient and their clinician concurrent or within 24 hours of clinical encounter and within 120 days after initiation

Question 2

What category is M1354 in?

Accepted Answer

M1354 belongs to HCPCS Category M (Medical Services).

Question 3

When should I use HCPCS code M1354?

Accepted Answer

Use M1354 when billing for pt no suicd saf pln 120dy. 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 M1354 covered by Medicare?

Accepted Answer

Coverage for M1354 (Pt no suicd saf pln 120dy) 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 M1354?

Accepted Answer

Documentation for M1354 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).