CPC HCPCS Level II Coding 5

Question 1

Which HCPCS Level II modifier indicates that a purchased item is new and different from a replaced item?

Accepted Answer

NU

Answer

Modifier NU indicates a new DME item purchased (as opposed to used or rental), while UE indicates used durable medical equipment.

Question 2

A patient receives injectable epoetin alfa (Procrit) for anemia. Which HCPCS code category covers this drug?

Accepted Answer

J-codes

Answer

Epoetin alfa is classified under J-codes (specifically J0885/J0886), which cover drugs administered other than orally.

Question 3

The HCPCS Level II modifier 'GX' indicates:

Accepted Answer

Notice of exclusion from Medicare benefits issued voluntarily under a statutory exclusion

Answer

Modifier GX indicates a voluntary ABN was issued for a service that is statutorily excluded from Medicare benefits.

Question 4

Which HCPCS Level II code range covers hearing services and hearing aids?

Accepted Answer

V5000-V5999

Answer

V5000-V5999 covers hearing services including hearing tests, hearing aids, and hearing aid accessories.

Question 5

A coder must assign HCPCS codes for Medicare Advantage plans. Which statement is true?

Accepted Answer

Medicare Advantage plans may require HCPCS Level II codes for DME and drugs

Answer

Medicare Advantage (MA) plans follow Medicare billing guidelines and typically require HCPCS Level II codes for DME, drugs, and other covered services.

CPC - Certified Professional Coder Practice Test

CPC - Certified Professional Coder Practice Test

CPC HCPCS Level II Coding 5