CPC HCPCS Level II Codes 3 — Questions and Answers
Question 1: HCPCS Level II A codes are primarily used to report which of the following?
- Ambulance services and medical supplies (Correct answer)
- Durable medical equipment
- Orthotics and prosthetics
- Drugs administered by injection
Correct answer: Ambulance services and medical supplies
A codes cover transportation services (ambulance), medical and surgical supplies, administrative/miscellaneous services, and investigational devices.
Question 2: A patient is transported by air ambulance from a rural hospital to a trauma center. Which HCPCS code series is used?
- T codes
- A codes (Correct answer)
- S codes
- R codes
Correct answer: A codes
Air ambulance transportation is coded using the A code series (specifically A0430 and A0431 for fixed-wing and rotary-wing aircraft).
Question 3: Which modifier is appended to HCPCS Level II codes to indicate the item was purchased new?
- -NU (Correct answer)
- -RR
- -UE
- -NR
Correct answer: -NU
The -NU modifier indicates that the DME item was purchased new, as opposed to rented or purchased used.
Question 4: S codes in HCPCS Level II are primarily used by:
- Medicare only
- Commercial/private payers and Medicaid (Correct answer)
- VA and TRICARE exclusively
- CMS for temporary drug codes
Correct answer: Commercial/private payers and Medicaid
S codes are non-covered by Medicare but are used by Blue Cross Blue Shield and other commercial/private payers for services and supplies.
Question 5: When billing Medicare for chemotherapy drugs administered in the office, which HCPCS Level II code series is commonly used?
- G codes
- J codes (Correct answer)
- K codes
- Q codes
Correct answer: J codes
J codes are used to report drugs administered other than oral method and are commonly used for chemotherapy and other injectable drugs in outpatient settings.
Question 6: A patient uses a transcutaneous electrical nerve stimulation (TENS) unit at home. Which HCPCS Level II category covers the device?
- A codes
- B codes
- E codes (Correct answer)
- P codes
Correct answer: E codes
TENS units are classified as durable medical equipment and are reported using E codes (e.g., E0720, E0730).
Question 7: Which HCPCS Level II modifier indicates that a piece of DME was rented?
- -NU
- -UE
- -RR (Correct answer)
- -MS
Correct answer: -RR
The -RR modifier (Rental/Repeat) is used to indicate that DME was rented rather than purchased.
CPC HCPCS Level II Codes 3
HCPCS Level II A codes are primarily used to report which of the following?