CMC HCPCS Level II Coding 3

Question 1

A Medicare patient receives a power wheelchair. Which HCPCS Level II code range is most appropriate?

Accepted Answer

E codes (DME)

Answer

A codes (transport/supplies)

Answer

L codes (orthotics/prosthetics)

Answer

K codes (DME temporary)

Question 2

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

Accepted Answer

Private insurers and Medicaid (non-Medicare payers)

Answer

Medicare only

Answer

Medicaid only

Answer

All payers uniformly including Medicare

Question 3

When billing Medicare for a non-covered item, which approach is correct?

Accepted Answer

Append the appropriate modifier such as GY or GA to the HCPCS code

Answer

Omit the item entirely and do not bill

Answer

Substitute a covered code that approximates the service

Answer

Report the item only to the secondary payer

Question 4

Which of the following best describes a HCPCS Level II 'miscellaneous' or 'not otherwise classified' code?

Accepted Answer

A code used when no specific code adequately describes the item or service

Answer

A code reserved for Medicare Advantage plan use only

Answer

A temporary code pending review by CMS

Answer

A code assigned exclusively to experimental or investigational items

Question 5

What is the primary purpose of HCPCS Level II T codes?

Accepted Answer

State Medicaid agency codes for items and services not covered by national Medicare/Medicaid codes

Answer

Temporary codes for emerging medical technologies

Answer

Transportation and ambulance services

Answer

Therapeutic procedures not described in CPT

Question 6

A supplier provides a custom-fabricated below-knee prosthetic limb to a patient. Which HCPCS Level II code section applies?

Accepted Answer

L codes

Answer

E codes

Answer

K codes

Answer

P codes

Question 7

Which of the following is TRUE regarding the HCPCS Level II annual update cycle?

Accepted Answer

Codes are updated annually by CMS, typically taking effect January 1st

Answer

Codes are updated once every five years by congressional mandate

Answer

Codes are updated monthly with no fixed schedule

Answer

Codes are updated only when the AMA approves changes