COC HCPCS Level II Coding 3

Question 1

Which entity maintains and updates HCPCS Level II codes?

Accepted Answer

Centers for Medicare & Medicaid Services (CMS)

Answer

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

Question 2

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

Accepted Answer

L codes (L1800–L2999)

Answer

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

Question 3

HCPCS Level II 'Q' codes represent:

Accepted Answer

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

Answer

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

Question 4

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

Accepted Answer

Certificate of Medical Necessity (CMN)

Answer

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

Question 5

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

Accepted Answer

E

Answer

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

COC - Certified Outpatient Coder Practice Test

COC - Certified Outpatient Coder Practice Test

COC HCPCS Level II Coding 3