Certified Medical Coding Specialist HCPCS Level II Coding 2 — Questions and Answers
Question 1: Which HCPCS Level II code range covers ambulance and transportation services?
- A0000–A0999 (Correct answer)
- E0100–E9999
- G0000–G9999
- T1000–T9999
Correct answer: A0000–A0999
A0000–A0999 covers transportation services including ambulance services and non-emergency medical transport.
Question 2: Which HCPCS modifier indicates that a procedure was performed on the left side of the body?
- LS
- LT (Correct answer)
- LA
- LE
Correct answer: LT
The modifier LT indicates that the procedure was performed on the left side of the body, while RT indicates the right side.
Question 3: HCPCS modifier GY is used to indicate which situation?
- The service meets Medicare coverage criteria
- The item is statutorily excluded or does not meet the Medicare benefit definition (Correct answer)
- An advance beneficiary notice is on file
- The service is provided in a rural health area
Correct answer: The item is statutorily excluded or does not meet the Medicare benefit definition
Modifier GY indicates that an item or service is statutorily excluded or does not meet the Medicare definition of a covered benefit.
Question 4: Which HCPCS Level II code section covers orthotic and prosthetic procedures?
- E codes
- K codes
- L codes (Correct answer)
- O codes
Correct answer: L codes
L codes (L0000–L9999) cover orthotic and prosthetic procedures, devices, and components.
Question 5: HCPCS modifier KX is used to indicate what?
- The claim is being resubmitted after a denial
- The requirements specified in the applicable medical policy have been met (Correct answer)
- The item is not covered by Medicare
- A waiver of liability has been issued to the patient
Correct answer: The requirements specified in the applicable medical policy have been met
Modifier KX indicates that the requirements specified in the applicable Medicare coverage policy have been met and documentation is on file.
Question 6: Which HCPCS Level II section contains temporary codes used by Durable Medical Equipment Medicare Administrative Contractors (DME MACs)?
- G codes
- K codes (Correct answer)
- Q codes
- S codes
Correct answer: K codes
K codes are temporary codes established by DME MACs for items that do not yet have a permanent national HCPCS code.
Question 7: Which HCPCS Level II section covers vision, hearing, and speech-language pathology services?
- H codes
- P codes
- T codes
- V codes (Correct answer)
Correct answer: V codes
V codes cover vision services, hearing services, and speech-language pathology services in HCPCS Level II.
Certified Medical Coding Specialist HCPCS Level II Coding 2
Which HCPCS Level II code range covers ambulance and transportation services?