HCPCS (Healthcare Common Procedure Coding System) is a standardized coding system used in the United States to describe medical procedures, supplies, and services. The HCPCS code set is divided into two levels:
HCPCS Level I codes:
- HCPCS Level I codes are the Current Procedural Terminology (CPT) codes developed and maintained by the American Medical Association (AMA). These codes are used to report procedures and services performed by healthcare providers, such as physicians and hospitals. CPT codes are used primarily for billing and reimbursement purposes by insurance companies and government programs such as Medicare.
HCPCS Level II codes:
- HCPCS Level II codes are used to report supplies, materials, and non-physician services not included in CPT codes. These codes are maintained by the Centers for Medicare & Medicaid Services (CMS) and are used by healthcare providers, suppliers, and other entities involved in healthcare delivery and payment. HCPCS Level II codes include durable medical equipment (DME) and other medical supplies, as well as ambulance services, prosthetics, and orthotics.
Overall, HCPCS codes are used by healthcare providers and facilities to bill for medical procedures, supplies, and services. It’s important to ensure accurate and appropriate use of HCPCS codes to ensure proper billing and reimbursement, as well as to provide accurate data for research and analysis.