HCPCS LEVEL II 2024 EXAM QUESTIONS WITH
COMPLETE SOLUTIONS
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.
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.
The main components of the HCPCS Level II book include:
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
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.
False
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.
orange sun symbol - orange circle w/ sun inside
Special Coverage Instructions
This symbol indicates that special coverage instructions apply to the code. Coders
should consult the coverage instructions before assigning the code. The special
instructions are usually included in CMS' Internet Only Manuals (IOM). References to
the location of the IOM are presented in the form of Medicare Pub 100 reference
numbers.
"NO symbol" - red circle w/ slash
Not Covered or Valid by Medicare
This symbol indicates that the service, procedure, or item represented by the code is
COMPLETE SOLUTIONS
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.
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.
The main components of the HCPCS Level II book include:
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
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.
False
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.
orange sun symbol - orange circle w/ sun inside
Special Coverage Instructions
This symbol indicates that special coverage instructions apply to the code. Coders
should consult the coverage instructions before assigning the code. The special
instructions are usually included in CMS' Internet Only Manuals (IOM). References to
the location of the IOM are presented in the form of Medicare Pub 100 reference
numbers.
"NO symbol" - red circle w/ slash
Not Covered or Valid by Medicare
This symbol indicates that the service, procedure, or item represented by the code is
