Question 1

What is HCPCS code M1476?

Accepted Answer

HCPCS code M1476 is "Pt dx cog imp or ad". Patients with diagnosis of cognitive impairment or alzheimer's disease

Question 2

What category is M1476 in?

Accepted Answer

M1476 belongs to HCPCS Category M (Medical Services).

Question 3

When should I use HCPCS code M1476?

Accepted Answer

Use M1476 when billing for pt dx cog imp or ad. 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 M1476 covered by Medicare?

Accepted Answer

Coverage for M1476 (Pt dx cog imp or ad) 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 M1476?

Accepted Answer

Documentation for M1476 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).