CMC HCPCS Level II Coding 2 — Questions and Answers
Question 1: Which letter code in HCPCS Level II is used for drugs administered via injection or other non-oral methods?
- D codes
- J codes (Correct answer)
- M codes
- P codes
Correct answer: J codes
J codes cover drugs administered other than oral method, including injections, chemotherapy agents, and immunosuppressants.
Question 2: HCPCS Level II G codes are primarily used for which purpose?
- Genetic testing procedures
- CMS-required procedures and professional services not represented in CPT (Correct answer)
- Gynecological services only
- Graded exercise testing protocols
Correct answer: CMS-required procedures and professional services not represented in CPT
G codes represent procedures and professional services required by CMS for Medicare processing that are not adequately represented in the CPT code set.
Question 3: Which HCPCS Level II code category covers orthotic and prosthetic devices?
- E codes
- K codes
- L codes (Correct answer)
- O codes
Correct answer: L codes
L codes (L0100–L9999) cover orthotic and prosthetic devices and related procedures in the HCPCS Level II system.
Question 4: What do HCPCS Level II Q codes represent?
- Quality improvement services
- Temporary CMS-assigned codes for drugs, biologicals, and other items pending permanent classification (Correct answer)
- Qualifying circumstances for anesthesia billing
- Questionnaire-based mental health assessment tools
Correct answer: Temporary CMS-assigned codes for drugs, biologicals, and other items pending permanent classification
Q codes are temporary codes assigned by CMS for drugs, biologicals, and other items that may be incorporated into another section or discontinued once a permanent code is assigned.
Question 5: When billing for a drug using a HCPCS J code, what determines the unit of measurement?
- Per prescription filled regardless of dose
- Per pill or tablet dispensed
- Per dose as specifically defined in the code descriptor (Correct answer)
- Per milligram uniformly across all J codes
Correct answer: Per dose as specifically defined in the code descriptor
J codes specify the unit of measurement in the code descriptor itself, which may be per dose, per specific quantity (e.g., per 10 mg), or another defined unit.
Question 6: Which HCPCS Level II code category covers enteral and parenteral nutrition therapy and supplies?
- A codes
- B codes (Correct answer)
- E codes
- J codes
Correct answer: B codes
B codes (B4034–B9999) cover enteral and parenteral nutrition therapy products, equipment, and related supplies in HCPCS Level II.
Question 7: A patient is fitted with a custom ankle-foot orthosis (AFO). Which HCPCS Level II code section applies?
- E codes
- K codes
- L codes (Correct answer)
- A codes
Correct answer: L codes
Custom orthotic devices such as an ankle-foot orthosis (AFO) are coded using L codes (e.g., L1900–L1990) in the HCPCS Level II system.
CMC HCPCS Level II Coding 2
Which letter code in HCPCS Level II is used for drugs administered via injection or other non-oral methods?