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HCPCS LEVEL II QUESTIONS WITH CORRECT ANSWERS

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HCPCS LEVEL II QUESTIONS WITH CORRECT ANSWERS

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Some services must be reported with CPT codes and HCPCS level II codes..example


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CPTBBCode is reported for the administration of injection and HCPCS level
II code is reported to identify medication administered.




Categories of temporary codes: C codes


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identify items that may qualify for transitional pass through payments under
OPPS

,Medicare may also place qualifications or condition on


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payment for some services




Miscellaneous Code


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include miscellaneous /not otherwise classified codes.
Reported when DMEPOS dealer submits claim for product/servies when
HC level II exists.
Allow DMEPOS to submit claims for product /services as soon as FDA
approval is granted.




CPt provides code 99070 for supplies and materials


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exceeding those included in primary service or procedural performed.




types of HCPCS LEVEL 2 CODES


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, * permanent national codes,
dental codes,miscellaneous codes, temporary, modifiers.




Durable Medical Equipment (DME)


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Equipment that can withstand repeated use.
Primarily used to serve a medical purpose.
Used in the patient's home(or assisted living facility or group home)
would not be used in the absence of illness or injury.




DMEPOS claims LCDs and NCDs define


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coverage criteria, payment rules, and documentation required to process
DMEPOS claims.




Categories of temporary codes: T codes


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reported to stated Medicaid agencies when no permanent national codes
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