HCPCS Level II Exam Questions And Answers

HCPCS Level II was introduced in 1983 after Medicare found that its payers used more than 100 different coding systems, making it a. unmanageable to publish manuals. b. proficient to assign codes. c. difficult to analyze claims data. d. expensive to reimburse services. - ANS difficult to analyze claims data. HCPCS Level II furnishes health care providers and suppliers with a __________ language for reporting professional services, procedures, supplies, and equipment. a. medical b. proficient c. standardized d. therapeutic - ANS standardized Although the majority of procedures and services are reported using CPT (HCPCS Level I), that coding system does not describe __________ (services) and certain other services reported on claims submitted for Medicare and some Medicaid patients. a. DMEPOS b. LCD/NCD c. SADMERC d. PDAC - ANS DMEPOS DMEPOS stands for Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Order and Face-to-Face Encounter Requirements. HCPCS Level II codes are five characters in length, and they begin with letters __________, followed by four numbers. a. W−Z b. A−V c. A−Z d. A−B, E−V - ANS A−V Because HCPCS Level II is not a reimbursement methodology or system, its procedure, product, and service codes __________ coverage (e.g., payment). a. bear out b. are assured c. do not guarantee d. correspond with - ANS do not guarantee HCPCS Level II codes are developed and maintained by __________ and do not carry the copyright of a private organization, which means they are in the public domain and many publishers print annual coding manuals. a. CMS b. NCCI c. BCBS d. OIG - ANS CMS The four types of HCPCS Level II codes are a. miscellaneous, investigational, permanent, and temporary codes. b. miscellaneous, investigational, medical/surgical supply, and transportation service codes. c. miscellaneous, modifier, permanent, and temporary codes. d. orthotic, prosthetic, radiology, and temporary codes. - ANS miscellaneous, modifier, permanent, and temporary codes. A patient with diabetes received a J-cell alkaline replacement battery for a home blood glucose monitor. Assign the HCPCS Level II code. a. A4234 b. A4233 c. A4236 d. A4235 - ANS A4234 Assistive listening telecommunication device for the deaf (TDD). Assign the HCPCS Level II code. a. V5267 b. V5272 c. V5269 d. V5273 - ANS V5272