HCPCS Study Questions and Answers with Verified Solutions

HCPCS Study Questions and Answers with Verified Solutions HCPCS Level II codes are referred to as ______ codes national HCPCS Level II codes encompass services, procedures, and durable medical equipment, prosthetics, and orthotics supplies, abbreviated as DMEPOS CPT codes fall under HCPCS Level ___________ codes 1 HCPCS Level II codes consist of ________ characters 5 HCPCS Level II codes start with letters from A to _____ V HCPCS Level II codes are managed by the CMS HCPCS ____________ Workgroup To locate services and procedures reimbursed by a MAC, consult the ______________ Benefit Policy Manual Medicare To verify if a service is covered or excluded under Medicare, refer to the Medicare National Coverage _________ Manual Determinations HCPCS Level II ____________ are used with any HCPCS Level I (CPT) or II (national) code to add additional information about the reported product or service modifiers HCPCS Level II codes, CPT codes, and various modifiers are listed together in Block 24D on the ____________ claim form (e.g., 26010 FA F1) CMS-1500 HCPCS Level II miscellaneous codes are used when a DMEPOS _________ files a claim for a product or service that lacks an existing HCPCS Level II code supplier HCPCS Level II __________ codes enable payers to create necessary codes before the annual January 1 update temporary CPT modifier ____________ is used for procedures performed on both sides during the same surgery -50 When a radiology procedure is stopped, use a code to describe the ___________ of the procedure that was completed extent Sometimes both a CPT and an HCPCS Level II code are needed. Typically, a CPT code is used for administering an infusion or injection, while the HCPCS Level II code specifies the _________________ (or drug) medication If a drug is administered in a 100-mg dose and the HCPCS Level II code description states "per 50 mg," the quantity billed is _________ two If just 10 mg of a drug were administered and the HCPCS Level II code description states, "up to 15 mg," the quantity billed is _________ one The charge for a physician office encounter usually includes ____________ and materials needed to perform the procedure or service. supplies Although CMS developed the HCPCS Level II coding system, some of its procedures and services are not payable by __________ Medicare