HCPCS Level II EXAM | QUESTIONS & ANSWERS (VERIFIED) | LATEST UPDATE | GRADED A+

1 HCPCS Level II EXAM | QUESTIONS & ANSWERS (VERIFIED) | LATEST UPDATE | GRADED A+ 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. Correct 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. Correct Answer: 2 The main components of the HCPCS Level II book include: Correct 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 Correct 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. Correct Answer: False 3 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. Correct Answer: *orange sun symbol* - orange circle w/ sun inside Correct Answer: Special Coverage Instructions This symbol indicates that special coverage instructions apply to the code. Coders