Find policies, billing codes, payers, states, and providers
HCPCS Level II M1107: Documentation of Degenerative Neurological Diagnosis
HCPCS Level II code M1107 documents the presence of a degenerative neurological diagnosis—such as ALS, MS, or Parkinson’s disease—recorded at any time before or during an episode of care. Nationally, standardized use of this code supports consistent clinical documentation, care coordination, and appropriate utilization tracking for patients with progressive neurologic disorders. The code is relevant across care settings where diagnosis verification informs treatment planning, durable medical equipment decisions, and care transitions.
Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find an overview of the code’s clinical context, typical sites of service, and common billing modifiers and operational considerations. The publication highlights benchmarking themes and policy implications affecting documentation practices and claims processing. Practical information is provided for coders, clinicians, and revenue cycle staff on where M1107 is applied and why explicit diagnostic documentation matters for longitudinal care management. Data not available in the input is identified where applicable.
Customize your policy alerts
Sign up for hcpcs M1107 policy alerts
Get alerted when payer policies referencing M1107 are released or updated.
Monitor payer policy activity
Billing Code Overview
HCPCS Level II code M1107 documents that a patient has a diagnosis of a degenerative neurological condition, such as amyotrophic lateral sclerosis (ALS), multiple sclerosis (MS), or Parkinson’s disease, diagnosed at any time before or during the episode of care. This code is used to record the presence of a chronic, progressive neurological disorder in the patient’s medical record.
Service Type: Clinical documentation of chronic degenerative neurological diagnosis
Typical Site of Service: Inpatient and outpatient settings where diagnosis documentation is required, including hospitals, specialty neurology clinics, and home health or hospice records when applicable.