CMC HCPCS Level II Coding 2

Question 1

Which letter code in HCPCS Level II is used for drugs administered via injection or other non-oral methods?

Accepted Answer

J codes

Answer

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?

Accepted Answer

CMS-required procedures and professional services not represented in CPT

Answer

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?

Accepted Answer

L codes

Answer

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?

Accepted Answer

Temporary CMS-assigned codes for drugs, biologicals, and other items pending permanent classification

Answer

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?

Accepted Answer

Per dose as specifically defined in the code descriptor

Answer

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.

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CMC HCPCS Level II Coding 2