List of HCPCS codes
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List of HCPCS codes[edit | edit source]
The Healthcare Common Procedure Coding System (HCPCS) is a set of health care procedure codes based on the American Medical Association's Current Procedural Terminology (CPT). The HCPCS is divided into two principal subsystems, referred to as Level I and Level II.
Level I[edit | edit source]
Level I of the HCPCS is comprised of CPT codes, which are numeric and maintained by the American Medical Association (AMA). These codes are used to identify medical services and procedures furnished by physicians and other health care professionals.
Level II[edit | edit source]
Level II of the HCPCS is a standardized coding system that is used primarily to identify products, supplies, and services not included in the CPT codes, such as ambulance services and durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) when used outside a physician's office.
Structure of HCPCS Codes[edit | edit source]
HCPCS codes are alphanumeric and consist of a single letter followed by four digits. The letters A through V are used to identify the various categories of services and supplies.
- A Codes - Transportation Services Including Ambulance, Medical & Surgical Supplies
- B Codes - Enteral and Parenteral Therapy
- C Codes - Temporary Hospital Outpatient Prospective Payment System
- D Codes - Dental Procedures
- E Codes - Durable Medical Equipment
- G Codes - Temporary Procedures & Professional Services
- H Codes - Alcohol and Drug Abuse Treatment Services
- J Codes - Drugs Administered Other Than Oral Method, Chemotherapy Drugs
- K Codes - Temporary Codes for Durable Medical Equipment Regional Carriers
- L Codes - Orthotic and Prosthetic Procedures
- M Codes - Medical Services
- P Codes - Pathology and Laboratory Services
- Q Codes - Temporary Codes
- R Codes - Diagnostic Radiology Services
- S Codes - Private Payer Codes
- T Codes - State Medicaid Agency Codes
- V Codes - Vision/Hearing Services
Usage[edit | edit source]
HCPCS codes are used by Medicare and monitored by the Centers for Medicare & Medicaid Services (CMS). They are also used by other health insurance programs to ensure that claims are processed in an orderly and consistent manner.
Updates[edit | edit source]
The HCPCS codes are updated annually to reflect changes in medical technology and practice. The updates are published by CMS and are available to the public.
Related Pages[edit | edit source]
- Current Procedural Terminology
- Centers for Medicare & Medicaid Services
- Medicare (United States)
- Durable medical equipment
- Prosthetics
- Orthotics
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