116:
codes, also called local codes, were developed by state
Medicaid agencies, Medicare contractors, and private insurers for use in specific programs and jurisdictions. The Health Insurance Portability and Accountability Act of 1996 (HIPAA) instructed CMS to adopt a standard coding systems for reporting
59:(CMS). Prior to 2001, CMS was known as the Health Care Financing Administration (HCFA). HCPCS was established in 1978 to provide a standardized coding system for describing the specific items and services provided in the delivery of health care. Such coding is necessary for
117:
medical transactions. The use of Level III codes was discontinued on
December 31, 2003, in order to adhere to consistent coding standards. Level III codes were different from the modern CPT Category III codes, which were introduced in 2001 to code emerging technology.
546:
510:
67:, and other health insurance programs to ensure that insurance claims are processed in an orderly and consistent manner. Initially, use of the codes was voluntary, but with the implementation of the
345:
246:
500:
615:
483:
463:
561:
478:
68:
473:
320:
468:
677:
592:
423:
211:
667:
505:
174:
127:
56:
401:
428:
235:
682:
625:
573:
443:
367:
568:
313:
646:
306:
551:
536:
91:
36:
242:
87:
32:
630:
132:
196:
360:
167:
672:
372:
355:
60:
110:
devices, and represent items and supplies and non-physician services, not covered by CPT-4 codes (Level I).
350:
329:
283:
278:
71:
of 1996 (HIPAA) use of the HCPCS for transactions involving health care information became mandatory.
607:
620:
337:
556:
28:
524:
382:
661:
540:
98:
488:
25:
107:
583:
438:
103:
102:
codes are alphanumeric and primarily include non-physician services such as
273:
153:
298:
64:
578:
207:
587:
411:
406:
597:
493:
433:
416:
302:
24:, often pronounced by its acronym as "hick picks") is a set of
197:"Coding and Payment Guide for Behavioral Health Services"
279:
HCPCS Level II alphanumeric procedure and modifier codes
288:
293:
639:
606:
523:
452:
390:
381:
336:
69:
Health
Insurance Portability and Accountability Act
168:"New CMS coding changes will help beneficiaries"
236:"CPT® Category III Codes: The First Ten Years"
314:
8:
387:
321:
307:
299:
175:Centers for Medicare and Medicaid Services
128:Centers for Medicare and Medicaid Services
57:Centers for Medicare and Medicaid Services
18:Healthcare Common Procedure Coding System
55:, a medical billing process used by the
289:HCPCS Level II Codes & Drug Pricing
144:
79:HCPCS includes three levels of codes:
678:Medicare and Medicaid (United States)
7:
53:HCFA Common Procedure Coding System
14:
668:Clinical procedure classification
252:from the original on 2018-12-01
217:from the original on 2018-12-01
284:NDC-HCPCS crosswalk data files
92:Current Procedural Terminology
37:Current Procedural Terminology
1:
683:American Medical Association
243:American Medical Association
177:. October 6, 2004. p. 1
88:American Medical Association
33:American Medical Association
699:
133:Current Dental Terminology
294:2020 HCPCS Level 2 codes
330:Medical classification
204:www.optum360coding.com
94:(CPT) and is numeric.
51:originally stood for
608:Pharmaceutical codes
338:Topographical codes
152:HCPCS Code range.
655:
654:
519:
518:
690:
525:Procedural codes
457:
395:
388:
383:Diagnostic codes
323:
316:
309:
300:
261:
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226:
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216:
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172:
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149:
86:consists of the
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689:
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673:Medical manuals
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635:
602:
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448:
391:
377:
332:
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166:
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161:
151:
150:
146:
141:
124:
77:
75:Levels of codes
45:
29:procedure codes
12:
11:
5:
696:
694:
686:
685:
680:
675:
670:
660:
659:
653:
652:
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649:
643:
641:
640:Outcomes codes
637:
636:
634:
633:
628:
623:
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612:
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604:
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595:
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581:
576:
571:
566:
565:
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559:
554:
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529:
527:
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520:
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516:
514:
513:
508:
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498:
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481:
476:
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458:
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449:
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441:
436:
431:
426:
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409:
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385:
379:
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365:
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353:
342:
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333:
328:
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318:
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303:
297:
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291:
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276:
269:
268:External links
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188:
159:
143:
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111:
95:
76:
73:
44:
41:
13:
10:
9:
6:
4:
3:
2:
695:
684:
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679:
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671:
669:
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663:
648:
645:
644:
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638:
632:
629:
627:
626:SNOMED C axis
624:
622:
619:
617:
614:
613:
611:
609:
605:
599:
596:
594:
591:
589:
585:
582:
580:
577:
575:
574:SNOMED P axis
572:
570:
567:
563:
560:
558:
557:9-CM Volume 3
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553:
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548:
545:
542:
538:
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531:
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482:
480:
477:
475:
472:
470:
467:
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462:
461:
459:
456:
451:
445:
444:SNOMED D axis
442:
440:
437:
435:
432:
430:
427:
425:
422:
418:
415:
413:
410:
408:
405:
404:
403:
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389:
386:
384:
380:
374:
371:
369:
368:SNOMED T axis
366:
362:
359:
357:
354:
352:
349:
348:
347:
344:
343:
341:
339:
335:
331:
324:
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295:
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277:
275:
274:Official site
272:
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248:
244:
237:
231:
228:
213:
209:
205:
198:
192:
189:
176:
169:
163:
160:
155:
154:"HCPCS Codes"
148:
145:
138:
134:
131:
129:
126:
125:
121:
115:
112:
109:
106:services and
105:
101:
100:
96:
93:
89:
85:
82:
81:
80:
74:
72:
70:
66:
62:
58:
54:
50:
42:
40:
38:
34:
31:based on the
30:
27:
23:
19:
532:
455:specialized:
454:
392:
346:Terminologia
254:. Retrieved
230:
219:. Retrieved
203:
191:
179:. Retrieved
162:
147:
113:
97:
83:
78:
52:
48:
47:The acronym
46:
21:
17:
15:
373:MeSH A axis
181:January 13,
26:health care
662:Categories
584:Read codes
439:Read codes
256:2018-01-01
221:2018-12-01
139:References
108:prosthetic
114:Level III
104:ambulance
393:general:
247:Archived
212:Archived
122:See also
99:Level II
65:Medicaid
61:Medicare
579:OPS-301
541:Level 2
208:Ingenix
84:Level I
43:History
39:(CPT).
588:OPCS-4
552:10 PCS
511:OSIICS
506:CCMD-3
424:ICPC-2
598:LOINC
533:HCPCS
464:ICD-O
434:NANDA
250:(PDF)
239:(PDF)
215:(PDF)
200:(PDF)
171:(PDF)
49:HCPCS
22:HCPCS
593:CCAM
562:ICHI
479:ILDS
474:ICHD
469:ICSD
183:2016
16:The
647:NOC
631:DIN
621:NDC
616:ATC
569:NIC
547:ICD
537:CPT
501:BPA
484:DSM
429:DRC
402:ICD
90:'s
35:'s
664::
539:,
489:IV
412:10
407:11
361:TE
356:TH
351:TA
245:.
241:.
210:.
206:.
202:.
173:.
63:,
586:/
543:)
535:(
494:5
417:9
322:e
315:t
308:v
259:.
224:.
185:.
156:.
20:(
Text is available under the Creative Commons Attribution-ShareAlike License. Additional terms may apply.