HCPCS (national codes)
HCPCS stands for Healthcare Common Procedure Coding System
HCPCS stands for Healthcare Common Procedure Coding System. It is a standardized set of codes used in the United States healthcare industry to represent medical services, procedures, supplies, and equipment. HCPCS codes are used to facilitate billing and reimbursement processes for healthcare providers, insurance companies, and government agencies such as Medicare and Medicaid.
The HCPCS system is divided into two levels: Level I (CPT codes) and Level II (national codes).
Level I codes are known as Current Procedural Terminology (CPT) codes, which are maintained by the American Medical Association (AMA). CPT codes primarily represent physician and outpatient services.
Level II codes, also known as national codes or HCPCS Level II codes, are maintained by the Centers for Medicare and Medicaid Services (CMS). These codes cover a broader range of healthcare services, including durable medical equipment, ambulance services, prosthetics, orthotics, and other supplies.
HCPCS Level II codes are alphanumeric and consist of five characters. The first character is always a letter from A to V, excluding the letters I, O, and U. The second character is a letter or a number, and the remaining three characters are numeric. For example, a HCPCS Level II code may look like E0130 or K0822.
These codes are used for various purposes, such as identifying items and services for reimbursement, tracking utilization of healthcare services, and conducting healthcare research and analysis. They play a crucial role in ensuring accurate and efficient billing processes in the healthcare industry.
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