Question 1

What is HCPCS code M1382?

Accepted Answer

HCPCS code M1382 is "Enc dur perf pd pos 11". Patient encounter during the performance period with place of service code 11

Question 2

What category is M1382 in?

Accepted Answer

M1382 belongs to HCPCS Category M (Medical Services).

Question 3

When should I use HCPCS code M1382?

Accepted Answer

Use M1382 when billing for enc dur perf pd pos 11. 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 M1382 covered by Medicare?

Accepted Answer

Coverage for M1382 (Enc dur perf pd pos 11) 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 M1382?

Accepted Answer

Documentation for M1382 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).