HCPCS LEVEL II EXAM QUESTIONS WITH COMPLETE
VERIFIED ANSWERS LATEST UPDATED GRADED A++
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
VERIFIED ANSWERS LATEST UPDATED GRADED A++
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
