HCPCS Level II Coding Flashcards

Which entity maintains and updates HCPCS Level II codes?

Answer: Centers for Medicare & Medicaid Services (CMS)

HCPCS Level II codes are maintained and updated by the Centers for Medicare & Medicaid Services (CMS), unlike CPT which is maintained by the AMA.

A patient is fitted for a custom-made knee orthosis. Which HCPCS Level II series applies?

Answer: L codes (L1800–L2999)

Custom knee orthoses are reported using HCPCS Level II L-codes, which cover orthotic and prosthetic devices.

HCPCS Level II 'Q' codes represent:

Answer: Temporary codes for drugs, biologicals, and services not in other categories

'Q' codes are miscellaneous temporary HCPCS codes used for drugs, biologicals, and services that don't fit neatly into other HCPCS categories.

When billing for a HCPCS supply or DME item, what document supports medical necessity?

Answer: Certificate of Medical Necessity (CMN)

A Certificate of Medical Necessity (CMN) is required to document and support medical necessity for DME and certain HCPCS-coded supplies under Medicare.

A patient receives a walker from a DME supplier. Which HCPCS code letter would apply?

Answer: E

Walkers are classified as durable medical equipment and are reported using HCPCS Level II 'E' codes.

The HCPCS Level II modifier '-LT' is used to indicate:

Answer: Left side of the body

HCPCS modifier -LT denotes that the procedure or service was performed on the left side of the body.