HCPCS code categories, DME and drug codes, common CPT and HCPCS modifiers and when each applies.
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- What does HCPCS stand for?
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Healthcare Common Procedure Coding System- What is another name for HCPCS Level I codes?
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CPT codes (Current Procedural Terminology)- Which organization maintains CPT (HCPCS Level I) codes?
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The American Medical Association (AMA)- Which federal agency maintains HCPCS Level II codes?
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The Centers for Medicare and Medicaid Services (CMS)- What is the basic format of a HCPCS Level II code?
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One letter followed by four numbers- What kinds of items do HCPCS Level II codes mainly cover that CPT does not?
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Supplies, equipment, drugs, and other non-physician products and services- What does the J-code section of HCPCS Level II cover?
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Injectable and infused drugs- What does the E-code section of HCPCS Level II cover?
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Durable medical equipment (DME)- What do A-codes in HCPCS Level II generally cover?
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Transportation services (such as ambulance) and medical/surgical supplies- What does the L-code section of HCPCS Level II cover?
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Orthotic and prosthetic devices- What are K-codes in HCPCS Level II used for?
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Temporary codes for durable medical equipment not otherwise described by a permanent code- What are G-codes in HCPCS Level II used for?
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Temporary codes for procedures and professional services not yet in CPT- What are Q-codes in HCPCS Level II used for?
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Temporary codes for miscellaneous services, drugs, and supplies- What are S-codes in HCPCS Level II used for?
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Temporary codes used by private payers that Medicare does not recognize- What are T-codes in HCPCS Level II used for?
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Codes established for use by state Medicaid agencies
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