HCPCS STUDY GUIDE EXAM | QUESTIONS & ANSWERS (VERIFIED) | LATEST UPDATE | GRADED A+

1 HCPCS STUDY GUIDE EXAM | QUESTIONS & ANSWERS (VERIFIED) | LATEST UPDATE | GRADED A+ HCPCS Correct Answer: ______is a Centers for Medicare and Medicaid Services (CMS) driven coding source that allows for uniform reporting of services, procedures, supplies, and equipment. It is used for both Medicare and Medicaid claims. Healthcare Common Procedure Coding System Correct Answer: HCPCS stands for... Level II codes and national codes Correct Answer: Developed by CMS, HCPCS is also known as ... National codes Correct Answer: are used to report physician and non-physician services, like ambulance services, chiropractic, and dental services. Level I =CPT codes, Level II= National Codes Correct Answer: What are the two levels of HCPCS codes? 2 Level II Correct Answer: ___ codes classify similar products and services (both medical) for the purpose of efficient claims processing. modifiers Correct Answer: Level II codes also have ____ that can be used to provide information that is more specific. two Correct Answer: Modifiers are ____ characters and may be letters or a letter with a number. UE Correct Answer: ____ is used to indicate used equipment F5 Correct Answer: ___ indicates the thumb of the right hand RR Correct Answer: ____ is rental (this is used when DME is rented). tabular 3 Correct Answer: The steps involved in HCPCS coding are very much like CPT. First, you will determine what you looking for. The next step is to locate the term in the alphabetic index. Then, you will locate the code in the ____ listing to verify. Transport Services & Med/Surgery Supplies Correct Answer: A section is for ... Enteral/Parental Supplies Correct Answer: B section is for ... Hospital Outpatient Correct Answer: C section is for ... Dental Correct Answer: D section is for ... DME Correct Answer: E section is for ... Temporary Codes Correct Answer: G section is for ... Behavioral Health/Substance Abuse 4 Correct Answer: H section is for ... Drugs (excluding chemotherapy) Correct Answer: J section is for ... Temporary Codes by Regional Carrier Correct Answer: K section is for ... Orthotics Correct Answer: L section is for ... Other Correct Answer: M section is for ... Laboratory Correct Answer: P section is for ... Temporary Correct Answer: Q section is for ... Diagnostic/Radiology Correct Answer: R section is for ... 5 Private Payers Correct Answer: S section is for ... Medicaid Correct Answer: T section is for ... Vision Correct Answer: V section is for ... Modifiers Correct Answer: ___ are used to provide further information. AA Correct Answer: Anesthesia services provided by an anesthesiology modifier is ___. AH Correct Answer: Clinical psychologist modifier is ___. AJ Correct Answer: Clinical social worker modifier is ___. AS 6 Correct Answer: Physician Assistant, Nurse Practitioner, or Clinical Nurse modifier is ___. E1 Correct Answer: Eyelid, upper left modifier is ___. E Correct Answer: Transportation modifier for Residential, domiciliary (custodial) facility [exception - skilled nursing facility] H Correct Answer: Transportation modifier for the Hospital N Correct Answer: Transportation modifier for the Skilled Nursing Facility P Correct Answer: Transportation modifier for the Physician office R Correct Answer: Transportation modifier Residence S 7 Correct Answer: Transportation modifier for Scene of accident or acute event American Medical Association Correct Answer: HCPCS a set of health care procedure codes based on the ___________'s Current Procedural Terminology (CPT). 5 Correct Answer: HCPCS have ____ digits. state to state Correct Answer: The prices for HCPC's may vary from ____ to ____. CPT Correct Answer: Codes for supplies, materials and injections (i.e. bandages, rubber gloves, penicillin). These are reported in the same parts of insurance forms as ____® codes (HCPCS as Level II CPT® codes). procedures or services Correct Answer: There are specialized HCPCS codes such as E, J and L codes used for specific ___ or ____. DME, HME, POS, PEN 8 Correct Answer: CMS' Common Procedure Coding System; required by CMS when billing ___, ___, ___, ___ services and supplies; includes CPT codes to describe physicians' services and supplies quarterly Correct Answer: HCPCS codes and modifiers may (may) be updated, activated, or deactivated ____. However, changes are usually made on an annual basis.