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

HCPCS Level I consists of CPT codes for physician services, while Level II covers non-physician items like DME, supplies, drugs, and transportation.

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

Modifier GA indicates that a waiver of liability statement (Advance Beneficiary Notice) is on file when Medicare is expected to deny the service.

Question 3

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

Accepted Answer

H codes

Answer

H codes cover mental health, substance abuse, and behavioral health services in HCPCS Level II.

Question 4

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

Accepted Answer

Temporary national codes

Answer

Q codes are temporary national codes assigned when a service does not yet have a permanent HCPCS code but a national code is needed.

Question 5

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

Accepted Answer

50

Answer

Modifier 50 indicates a bilateral procedure performed during the same operative session and is shared between the CPT and HCPCS systems.

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