HCPCS Study Guide Latest Version 2023

HCPCS - ______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 - HCPCS stands for... Level II codes and national codes - Developed by CMS, HCPCS is also known as ... National codes - are used to report physician and non-physician services, like ambulance services, chiropractic, and dental services. Level I =CPT codes, Level II= National Codes - What are the two levels of HCPCS codes? Level II - ___ codes classify similar products and services (both medical) for the purpose of efficient claims processing. modifiers - Level II codes also have ____ that can be used to provide information that is more specific. two - Modifiers are ____ characters and may be letters or a letter with a number. UE - ____ is used to indicate used equipment F5 - ___ indicates the thumb of the right hand RR - ____ is rental (this is used when DME is rented). tabular - 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 - A section is for ... Enteral/Parental Supplies - B section is for ... Hospital Outpatient - C section is for ... Dental - D section is for ... DME - E section is for ... Temporary Codes - G section is for ... Behavioral Health/Substance Abuse - H section is for ... Drugs (excluding chemotherapy) - J section is for ... Temporary Codes by Regional Carrier - K section is for ... Orthotics - L section is for ... Other - M section is for ... Laboratory - P section is for ... Temporary - Q section is for ... Diagnostic/Radiology - R section is for ... Private Payers - S section is for ... Medicaid - T section is for ... Vision - V section is for ... Modifiers - ___ are used to provide further information. AA - Anesthesia services provided by an anesthesiology modifier is ___. AH - Clinical psychologist modifier is ___. AJ - Clinical social worker modifier is ___. AS - Physician Assistant, Nurse Practitioner, or Clinical Nurse modifier is ___. E1 - Eyelid, upper left modifier is ___. E - Transportation modifier for Residential, domiciliary (custodial) facility [exception - skilled nursing facility] H - Transportation modifier for the Hospital N - Transportation modifier for the Skilled Nursing Facility P - Transportation modifier for the Physician office