HCPCS level II Exam Questions With Answers
HCPCS Level II
also called national code
used to describe common medical services/services.
5 characters in length, and they begin w/ letters A-V followed with 4 numbers.
HCPCS level II used to identify services performed by:
Physician and non ph...
hcpcs level ii exam questions with answers hcpcs l
Written for
HCPCS
All documents for this subject (275)
Seller
Follow
LectDan
Reviews received
Content preview
HCPCS level II Exam Questions With Answers
HCPCS Level II
also called national code
used to describe common medical services/services.
5 characters in length, and they begin w/ letters A-V followed with 4 numbers.
HCPCS level II used to identify services performed by:
Physician and non physician providers.
Ambulance companies
Durable medical equipment companies
Durable Medical Equipment (DME)
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.
Durable Medical Equipment, prosthetics, orthotics and supplies( DMEPOS )
includes artificial limbs, braces, medications and so on.
DMEPOS dealers
supply patient with DME
DMEPOS claims are submitted to DME Medicare administrative contractors (DME MACs)
each DME MAC covers a specific geographical region of the country and is responsible for processing
DMEPOS claims for its specific region
MAC
Medicare Administrative Contractor
When appropriate HCPCS level II code exists, it is often assigned instead of CPt code (with same or
similar code description) for:
Medicare Accounts
some State Medicaid system
CMS creates Hcpcs level II code:
for services and procedures that will probably never be assigned a CPT code.
to determine volume and codes of newly implemented technologies.
New Hcpcs level II codes are reported for several years until
CMS initiates a process to create corresponding CPT codes
When new CPT codes are published:
they are reported instead of the original HCPCS level II codes
HCPCS Level II National Codes
Classify similar medical products/services.
, Facilitate efficient claims processing
Contain a description
Used primarily for billing purposes.
HCPCS Level II continued to be:
reported by another payer or govt demonstration program (other than Medicare/Medicaid)
Characteristic of HCPCS level II national codes:
Ensure uniform reporting of medical products or services on claims.
Identify similar products or services.
Not a reimbursement methodology for making coverage or payment determinations.
Responsibility for HCPCS level II codes
developed and maintained by CMS
DO NOT carry copyright of any organization.
In public domain, which means many oublishers print annual coding manuals
Some references contain:
general instructions or guidelines for each section
Appendix that summarizes additions, deletions, and revisions to codes
Table for Drugs
Table for deleted codes.
Symbols to identify codes
excluded from Medicare
where paument is at payer discretion
with special coverage instructions.
types of HCPCS LEVEL 2 CODES
* permanent national codes,
dental codes,miscellaneous codes, temporary, modifiers.
Permanent national HCPCS codes are
maintained by HCPCS National Panel composed of representatives from BCBSA, HIAA and CMS
Responsible for making decisions about additions , deletions and revisions to code /description
Miscellaneous Code
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.
Miscellaneous Codes: Avoid inefficiency of assigning codes for
items and services that are rarely furnished.
which payer expect to receive few claims.
Claims w/ miscellaneous codes are manually processed and must include:
complete description of product or service.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller LectDan. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $10.89. You're not tied to anything after your purchase.
