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Healthcare Common Procedure Coding System

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Healthcare Common Procedure Coding System
Healthcare Common Procedure Coding System (HCPCS) is divided into two distinct subgroups: Level I and Level II HCPCs. Level I is made up of the Current Procedural Terminology Category (CPT)codes. CPT codes are used to bill public or private insurances programs for medical services and procedures.
Level II HCPCS is the standard of coding used to identify products, supplies, and services not included in the CPT. These include transportation services, durable medical equipment (DME), prosthetics, orthotics, and supplies.
Level II HCPCS were developed in the 1980’s. The codes are alpha-numeric consisting of a letter followed by 4 numbers. CPT codes, on the other hand, are 5 digit numeric codes.
According to the AAPC website HCPCS Level II is
…show more content…
Dental Codes or Current Dental Terminology (CDT) are maintained, published and copyrighted by the American Dental Association.

Like CPT codes, the use of Modifiers is employed to provide additional information that the code itself does not contain. These modifiers can be alpha-numeric or two letters. Two examples that are unlike CPT modifiers are UE which indicates used equipment and NU which identifies new equipment.

The AAPC adds this to explain the function of HCPCS Level II “This coding system is also used as an official code set for outpatient hospital care, chemotherapy drugs, Medicaid, and other services. The Blue Cross Blue Shield Association and the American Dental Association (ADA) post their procedure codes as part of HCPCS Level II. The Centers for Medicare & Medicaid Services (CMS) regularly uses HCPCS Level II to post codes for the tracking of demonstration projects and new technologies.” (AAPC,

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