HCPCS Level II Exam Questions and Answers 2024

HCPCS Level II Exam Questions and Answers 2024 CPT® codes don't completely report all of the services provided to patients. Services provided by some healthcare providers are not covered under the CPT coding system. Many of the supplies used in patient care (e.g., drugs and durable medical equipment) are also not reported with CPT codes. Since providers, naturally, want to be reimbursed for professional services in specialized areas and for supplies, durable medical equipment, and so forth, and these services are not reported with the ICD-10 or CPT coding systems, a different coding system, HCPCS, was developed. -Answer- The use of HCPCS codes is mandatory on all Medicare and Medicaid claims submitted for payment of services provided by healthcare providers. Many third-party payers also require the reporting of HCPCS codes. The HCPCS codes are five digits. The first digit is a letter, followed by four numbers. The codes and descriptions are updated each year by CMS. -Answer- The main components of the HCPCS Level II book include: -Answer-Alphabetic Index Tabular List Table of Drugs Modifiers Symbols and Conventions Annual Updates The book's components contain information on all of the following except _____. annual updates drugs ICD-10-CM Codes symbols and conventions -Answer-ICD-10-CM Codes Coders will need to use resources beyond the main components in the HCPCS Level II book to be able to assign a code. -Answer-False The HCPCS Level II uses several symbols and conventions to alert coders to key pieces of information related to code assignment and/or reimbursement. Examples include the identification of new, revised, deleted, and reinstated codes and the identification of codes that represent services not covered by Medicare. The meaning of the symbols is explained in the HCPCS book and the symbols and their descriptions are also included in the lower margins of the pages of the HCPCS Tabular List for ease of reference. On the next few pages, the symbols and their meanings will be presented. Be sure to identify the symbols that correspond with those found in your individual version of HCPCS Level II. -Answer- *orange sun symbol* - orange circle w/ sun inside -Answer-Special Coverage Instructions This symbol indicates that special coverage instructions apply to the code. Coders should consult the coverage instructions before assigning the code. The special instructions are usually included in CMS' Internet Only Manuals (IOM). References to the location of the IOM are presented in the form of Medicare Pub 100 reference numbers. "NO symbol" - red circle w/ slash -Answer-Not Covered or Valid by Medicare This symbol indicates that the service, procedure, or item represented by the code is not covered by Medicare. The reason for non-coverage is also usually included in CMS' Internet Only Manuals (IOM). "orange asterisk" - in the shape of a flower -Answer-Carrier Discretion