CPC HCPCS Level II Coding 4 — Questions and Answers
Question 1: Which HCPCS Level II code range covers home health services and hospice?
- G0000-G0499
- S9000-S9999
- T1000-T9999 (Correct answer)
- H0001-H2037
Correct answer: T1000-T9999
T-codes (T1000-T9999) cover state Medicaid agency services including home health aide and hospice services.
Question 2: The HCPCS Level II modifier 'GA' is used to indicate:
- Item has a written advance beneficiary notice on file (Correct answer)
- General anesthesia was used
- Government-approved procedure
- Group A classification of service
Correct answer: Item has a written advance beneficiary notice on file
Modifier GA indicates that a waiver of liability statement (ABN) has been issued and is on file for a service expected to be denied as not medically necessary.
Question 3: Which organization maintains and updates HCPCS Level II codes?
- American Medical Association (AMA)
- Centers for Medicare & Medicaid Services (CMS) (Correct answer)
- American Health Information Management Association (AHIMA)
- World Health Organization (WHO)
Correct answer: Centers for Medicare & Medicaid Services (CMS)
CMS (Centers for Medicare & Medicaid Services) is responsible for maintaining and updating HCPCS Level II codes.
Question 4: A diabetic patient receives glucose test strips covered under Medicare Part B. Which HCPCS code range applies?
- A4200-A4270 (Correct answer)
- E2100-E2101
- S8490-S8496
- K0553-K0554
Correct answer: A4200-A4270
A4200-A4270 covers diabetic supplies including lancets and blood glucose test strips billed under Medicare Part B.
Question 5: Which HCPCS modifier indicates a service was provided to an inmate of a state or local penal facility?
- GY
- GZ
- PL (Correct answer)
- GE
Correct answer: PL
Modifier PL indicates a service was provided to a patient who is an inmate of a state or local penal facility.
Question 6: H-codes in HCPCS Level II are primarily used to classify:
- Home infusion therapy
- Behavioral health and substance abuse treatment services (Correct answer)
- Hearing aids and audiology services
- Hospital outpatient services
Correct answer: Behavioral health and substance abuse treatment services
H-codes (H0001-H2037) cover mental health and substance abuse treatment services, often required by state Medicaid programs.
Question 7: When a Medicare patient rents a hospital bed (DME), which HCPCS code range applies?
- A4570-A4590
- E0250-E0329 (Correct answer)
- K0195-K0899
- L7600-L7699
Correct answer: E0250-E0329
E0250-E0329 covers hospital beds and accessories, classified under the E-code durable medical equipment range.
CPC HCPCS Level II Coding 4
Which HCPCS Level II code range covers home health services and hospice?