Question 1

What is HCPCS code M1483?

Accepted Answer

HCPCS code M1483 is "Neg quan hep c or qual rna". Patients who achieve sustained virological response as identified by an hcv rna test (cpt 87522) or (cpt 87521) with a negative/undetectable hcv rna result that occurred 20 weeks to 12 months after the first positive/detectable hcv rna test result within the denominator identification period

Question 2

What category is M1483 in?

Accepted Answer

M1483 belongs to HCPCS Category M (Medical Services).

Question 3

When should I use HCPCS code M1483?

Accepted Answer

Use M1483 when billing for neg quan hep c or qual rna. 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 M1483 covered by Medicare?

Accepted Answer

Coverage for M1483 (Neg quan hep c or qual rna) 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 M1483?

Accepted Answer

Documentation for M1483 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).