HCPCS Level II Coding Flashcards
7 cards from real Certified Medical Coding Specialist practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 HCPCS Level II Coding flashcards as text
What is the primary difference between HCPCS Level I and HCPCS Level II codes?
Answer: Level I codes are CPT codes for physician services; Level II covers non-physician items and services
HCPCS Level I consists of CPT codes for physician services, while Level II covers non-physician items like DME, supplies, drugs, and transportation.
HCPCS modifier GA is used in which situation?
Answer: When an Advance Beneficiary Notice (ABN) of non-coverage is on file
Modifier GA indicates that a waiver of liability statement (Advance Beneficiary Notice) is on file when Medicare is expected to deny the service.
Which HCPCS Level II section covers behavioral health and substance abuse services?
Answer: H codes
H codes cover mental health, substance abuse, and behavioral health services in HCPCS Level II.
Q codes in HCPCS Level II are classified as which type of codes?
Answer: Temporary national codes
Q codes are temporary national codes assigned when a service does not yet have a permanent HCPCS code but a national code is needed.
Which modifier is used in HCPCS to indicate a bilateral procedure performed in the same operative session?
Answer: 50
Modifier 50 indicates a bilateral procedure performed during the same operative session and is shared between the CPT and HCPCS systems.
HCPCS Level II S codes are primarily used by which payers?
Answer: Non-Medicare payers such as private insurers and managed care organizations
S codes are temporary national codes used primarily by non-Medicare payers such as private health insurers and managed care organizations.
When coding for a prosthetic limb replacement, which HCPCS Level II code section should a coder use?
Answer: L codes (Orthotic/Prosthetic Procedures)
L codes cover orthotic and prosthetic procedures and devices, including prosthetic limbs and their components.