Question 1

What is HCPCS code M1441?

Accepted Answer

HCPCS code M1441 is "Init dx slp apn = 1st enc". Encounter corresponds to initial diagnosis of sleep apnea or first contact with sleep apnea diagnosed patient

Question 2

What category is M1441 in?

Accepted Answer

M1441 belongs to HCPCS Category M (Medical Services).

Question 3

When should I use HCPCS code M1441?

Accepted Answer

Use M1441 when billing for init dx slp apn = 1st enc. 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 M1441 covered by Medicare?

Accepted Answer

Coverage for M1441 (Init dx slp apn = 1st enc) 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 M1441?

Accepted Answer

Documentation for M1441 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).