B. DISCUSSION BOARD: Discuss the purpose of HCPCS Level I CPT and HCPCS Level II Codes and provide an example of each:Healthcare Common Procedure Coding System (or HCPCS) is a set of health care procedure codes based on CPT. It was designed to provide a standardized coding system to describe specific items and services that are provided when health care is delivered. 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-4 codes, such as ambulance services and durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) when used outside a physician's office. PART 3: PCS PROCEDURAL CODINGIdentify the Main Term from the PCS Index, the first three characters of the PCS Code as listed in the PCS Index, and the name of the Root Operation that is indicated for the following procedures: Procedure Description Main Term 1 st 3 Character s Root Operation Bunionectomy Bunionectomy OQB Excision (B) Esophagogastroduodenoscopy Esophagogastroduodenoscop y ODJ Inspection (J) Laparoscopic total cholecystectomy cholecystectomy OFB Excision (B) Amputation of right fifth toe Amputation OY6 Detachment (6) Low cervical Cesarean delivery Cesarean 1OD Extraction (D) Right hip replacement replacement QSR Replacement (R) Resection of lower lobe, left lung Resection OBT Resection (T)
Open reduction, hip fracture, right reduction OSS Reposition (S) Artificial rupture of membranes (AROM) AROM 109 Drainage (9) Permanent colostomy of left descending colon colostomy OD1 Bypass (1) PART 4: HCPCS LEVEL II AND CPT LEVEL I MODIFIERS A. Assign the HCPCS Level I or II codes for the following scenarios. Append any HCPCS Level II Modifiers as needed: Coding Scenario HCPCS Level I or II Code Blood glucose monitor with integrated lancing HCPCS Level I Injection Depo-Estradiol Cypionate, 2.5 mg HCPCS Level I Thoracic lumbar sacral orthosis back brace HCPCS Level II LPN nursing care in the home, per diem HCPCS Level II Blood glucose reagent strips for home blood glucose machine HCPCS Level II Injection of Cordarone IV, 45 mg HCPCS Level II Patient received 1 hour of outpatient speech therapy by a speech pathologist in the office HCPCS Level I Prostate screening in a 69-year-old patient HCPCS Level I B . Indicate the correct HCPCS Level II Modifiers for the following services: HCPCS SERVICE HCPCS LEVEL II MODIFIER 1. Physician assistant, nurse practitioner, or clinical nurse specialist services for assistance at surgery AS 2. Outpatient occupational therapy service GP 3. Medicare beneficiary elected to purchase an item QR 4. Service is not reasonable and necessary GV 5.
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- Fall '14
- Current Procedural Terminology, ICD-10 Procedure Coding System, HCPCS Level, HCPCS Code, HCPCS Workgroup , Hcpcs Coding