HCPCS Level 2
HCPCS Level 2 is a standardized coding system that is used primarily to identify products, supplies, and services not included in the CPT codes, such as ambulance services and durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) when used outside a physician's office.
Overview
The Healthcare Common Procedure Coding System (HCPCS) is divided into two principal subsystems, referred to as level I and level II of the HCPCS. Level I of the HCPCS is comprised of Current Procedural Terminology (CPT) codes that are used to report medical services and procedures performed by physicians. Level II of the HCPCS is a standardized coding system that is used primarily to identify products, supplies, and services not included in the CPT codes.
HCPCS Level 2 Codes
HCPCS Level 2 codes are alphanumeric and consist of a single alphabetical letter followed by 4 numeric digits. The codes are divided into sections, each of which is represented by a letter. For example, the "A" codes are used for items and services that are not classified elsewhere in the HCPCS system.
Usage
These codes are used by Medicare and monitored by the Centers for Medicare and Medicaid Services (CMS). They are also used for reporting and billing by other health insurance companies, although they may add additional codes for items and services that are not included in the HCPCS Level 2 codes.
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Contributors: Prab R. Tumpati, MD