HCPCS Level II Coding Flashcards
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Which HCPCS Level II code series consists of temporary codes used when no permanent code has been established?
Answer: Q codes
Q codes are temporary codes assigned by CMS for items and services that do not yet have a permanent HCPCS Level II designation.
HCPCS Level II modifiers consist of which character structure?
Answer: Two characters that can be alpha-alpha, alpha-numeric, or numeric-alpha
HCPCS Level II modifiers are two-character codes that provide additional information and can be any combination of alpha and numeric characters.
Which HCPCS Level II code range covers orthotic procedures?
Answer: L0000–L4999
Orthotic procedures are reported with L codes in the range L0000–L4999, while prosthetic procedures use L5000–L9999.
When billing a drug using a HCPCS Level II J code, what unit measurement must the biller use?
Answer: The dosage unit specified in the code descriptor (e.g., per mg or per mL)
Each J code specifies its own unit of measurement in the descriptor (e.g., per 10 mg, per 50 mg), and billers must report units accordingly based on the actual dose given.
Which HCPCS Level II letter series is designated for enteral and parenteral therapy supplies?
Answer: B codes
B codes (B4000–B9999) cover enteral and parenteral therapy, including the nutrients, supplies, and equipment used for tube feeding and IV nutrition.
HCPCS Level II 'V codes' are used primarily for which types of services and supplies?
Answer: Vision, hearing, and speech-language pathology services and supplies
V codes (V0000–V2999) cover vision items such as eyeglasses and contact lenses, hearing items, and speech-language pathology services.
What is the key administrative difference between HCPCS Level I (CPT) and HCPCS Level II codes?
Answer: Level I codes are maintained by the AMA; Level II codes are maintained by CMS
CPT (HCPCS Level I) codes are developed and maintained by the AMA and focus on physician procedures, while HCPCS Level II codes are maintained by CMS and cover supplies, equipment, and non-physician services.