Question 1

What is HCPCS code M1408?

Accepted Answer

HCPCS code M1408 is "Gmln brca bef dx ca". Patients who have germline brca testing completed before diagnosis of epithelial ovarian, fallopian tube, or primary peritoneal cancer

Question 2

What category is M1408 in?

Accepted Answer

M1408 belongs to HCPCS Category M (Medical Services).

Question 3

When should I use HCPCS code M1408?

Accepted Answer

Use M1408 when billing for gmln brca bef dx ca. 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 M1408 covered by Medicare?

Accepted Answer

Coverage for M1408 (Gmln brca bef dx ca) 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 M1408?

Accepted Answer

Documentation for M1408 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).