Question 1

What is HCPCS code M1487?

Accepted Answer

HCPCS code M1487 is "Pt adm to hospice dur eval". Patients in hospice in the year before or during the period of evaluation

Question 2

What category is M1487 in?

Accepted Answer

M1487 belongs to HCPCS Category M (Medical Services).

Question 3

When should I use HCPCS code M1487?

Accepted Answer

Use M1487 when billing for pt adm to hospice dur eval. 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 M1487 covered by Medicare?

Accepted Answer

Coverage for M1487 (Pt adm to hospice dur eval) 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 M1487?

Accepted Answer

Documentation for M1487 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).