Certified Medical Coding Specialist HCPCS Level II Coding 3

Question 1

What is the primary difference between HCPCS Level I and HCPCS Level II codes?

Accepted Answer

Level I codes are CPT codes for physician services; Level II covers non-physician items and services

Answer

Level I codes are used by hospitals; Level II by physicians only

Answer

Level I codes are numeric only; Level II codes are entirely alphabetic

Answer

Level I codes are maintained by CMS; Level II codes are maintained by the AMA

Question 2

HCPCS modifier GA is used in which situation?

Accepted Answer

When an Advance Beneficiary Notice (ABN) of non-coverage is on file

Answer

When a service is provided globally under a global surgical package

Answer

When general anesthesia is administered during a procedure

Answer

When a procedure is performed bilaterally

Question 3

Which HCPCS Level II section covers behavioral health and substance abuse services?

Accepted Answer

H codes

Answer

G codes

Answer

M codes

Answer

T codes

Question 4

Q codes in HCPCS Level II are classified as which type of codes?

Accepted Answer

Temporary national codes

Answer

Permanent national codes

Answer

Local codes used by individual contractors

Answer

DME MAC-specific codes

Question 5

Which modifier is used in HCPCS to indicate a bilateral procedure performed in the same operative session?

Accepted Answer

50

Answer

BA

Answer

BI

Answer

BL

Question 6

HCPCS Level II S codes are primarily used by which payers?

Accepted Answer

Non-Medicare payers such as private insurers and managed care organizations

Answer

Medicare fee-for-service programs

Answer

Skilled nursing facility Medicaid programs only

Answer

State pharmacy assistance programs exclusively

Question 7

When coding for a prosthetic limb replacement, which HCPCS Level II code section should a coder use?

Accepted Answer

L codes (Orthotic/Prosthetic Procedures)

Answer

E codes (Durable Medical Equipment)

Answer

A codes (Medical and Surgical Supplies)

Answer

K codes (Temporary DME MAC codes)