HCPCS Level II Questions and Answers 100% Pass

HCPCS Level II Questions and Answers 100% Pass **What is the purpose of C codes under the Medicare Outpatient Prospective Payment System (OPPS)?** Required for use by hospitals under OPPS; other facilities may choose to report them. **How are G codes utilized?** Assigned nationally by CMS to identify healthcare procedures and services that may lack assigned CPT codes. **What is the function of H codes?** Establish unique temporary codes for mental health services as mandated by state Medicaid agencies. **Why are K codes developed by DME MACs?** To fill gaps in existing national codes for supplies and products, ensuring compliance with DME MAC medical review policies. **What do Q codes identify?** Services not covered by CPT or national Level II codes, essential for CMS claims processing, including drugs and medical equipment. **What purpose do S codes serve?** Address diverse needs of commercial and Medicaid health plans, reporting drugs and supplies lacking national codes essential for policy implementation. **What are T codes designated for?** Used by Medicaid agencies to create codes for items without permanent national codes, fulfilling specific program operational needs. **For services covered by both a CPT code and HCPCS Level II code, which code does Medicare require to be used?** HCPCS Level II code is required by Medicare; similar instructions may apply to other payers. **What does BO indicate?** Designates orally administered nutrition, not through a feeding tube. Example: Append modifier BO to enteral nutrients (B4142-B4162) when administered orally. E2 Lower Left Eyelid Example: Append E2 to CPT code 67700 when a blepharotomy, drainage of access, of the left lower eyelid is performed. F1 Left Hand, Second Digit Example: Append F1 to CPT code 26340 when manipulation, finger joint, under anesthesia, each joint is performed on the second digit of the left hand. GA Waiver of Liability Statement Issued as Required by Payer Policy, Individual Case Example: Append GA to CPT code when the diagnosis code does not meet medical necessity according to the Local Coverage Determination of the MAC. GU Waiver of Liability Statement Issued