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CODE.MODE

HCPCS 

PROCEDURAL

The Healthcare Common Procedure Coding System (HCPCS) was created by Medicare in 1983 by Medicare and it is a requirement when reporting services and procedures for payment. 

HCPCS, pronounced "Hick-Picks," is divided into two principal subsystems: Level I and Level II of the HCPCS.

 

Healthcare Common Procedure Coding System

SUBSYSTEMS

FORMAT

5-Character Codes

(Level I- numeric)                      (Level II- alphanumeric)

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MODIFIERS

  • Level I Modifiers  

  • Level II Modifiers

PUBLICATION

  • CMS

LEVEL I

HCPCS: Level I 

Level I of the HCPCS is primarily for the procedures that are provided to patients and is comprised of a numeric coding system known as CPT (Current Procedural Terminology). These codes do not include codes which are needed to separately report medical items /services which are frequently billed by suppliers, other than physicians. CPT codes are 5 numeric digits. 

HELPFUL LINKS

HCPCS Level II 

Level II of the HCPCS is a standardized coding system that is used primarily to identify the products, supplies,  medications, and services which not included in the CPT codes. They include codes for ambulance services and durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) when they are used outside of a physician's office. Level II HCPCS codes are a letter followed by 4 numeric digits. 

LEVEL II

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