CBCS HCPCS Level II Coding 2 — Questions and Answers
Question 1: Which HCPCS Level II code series consists of temporary codes used when no permanent code has been established?
- G codes
- Q codes (Correct answer)
- K codes
- S codes
Correct 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.
Question 2: HCPCS Level II modifiers consist of which character structure?
- Two alpha characters only
- Two numeric characters only
- Two characters that can be alpha-alpha, alpha-numeric, or numeric-alpha (Correct answer)
- Four numeric characters
Correct 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.
Question 3: Which HCPCS Level II code range covers orthotic procedures?
- E0100–E9999
- L0000–L4999 (Correct answer)
- L5000–L9999
- K0000–K9999
Correct answer: L0000–L4999
Orthotic procedures are reported with L codes in the range L0000–L4999, while prosthetic procedures use L5000–L9999.
Question 4: When billing a drug using a HCPCS Level II J code, what unit measurement must the biller use?
- One unit always equals one pill or tablet
- One unit always equals one patient visit
- The dosage unit specified in the code descriptor (e.g., per mg or per mL) (Correct answer)
- One unit always equals a 30-day supply
Correct 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.
Question 5: Which HCPCS Level II letter series is designated for enteral and parenteral therapy supplies?
- A codes
- B codes (Correct answer)
- J codes
- E codes
Correct 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.
Question 6: HCPCS Level II 'V codes' are used primarily for which types of services and supplies?
- Vaccines and immunization administration
- Vision, hearing, and speech-language pathology services and supplies (Correct answer)
- Vascular surgical procedures
- Ventilation and respiratory equipment
Correct 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.
Question 7: What is the key administrative difference between HCPCS Level I (CPT) and HCPCS Level II codes?
- Level I is for inpatient services; Level II is for outpatient services only
- Level I codes are maintained by the AMA; Level II codes are maintained by CMS (Correct answer)
- Level I codes have 5 digits; Level II codes have 6 digits
- Level I codes apply only to physicians; Level II codes apply only to hospitals
Correct 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.
CBCS HCPCS Level II Coding 2
Which HCPCS Level II code series consists of temporary codes used when no permanent code has been established?