A.HCPCS Matching Activity: Match the key terms with their definitions: HCPCS KEY TERMS HCPCS DEFINITIONS LETTER 1. HCPCS Level II codes that are maintained for the use of all payers D 2. Reference containing guidelines established by Medicare related to covered services in HCPCS Level II G C 3. HCPCS Level II codes that are used by individual payers for items not covered in permanent, national codes E 4. Reference containing information related to Medicare-qualified clinical trials, treatments, therapeutic interventions, diagnostic testing, DME, therapies, and services. B G 5. Code set providing national codes for supplies, services, and products C B 6. Reusable medical equipment for use in the home A 7. Two-character codes that are assigned to clarify Level II codes F 8. Government committee that maintains and advises on HCPCS Level II codes H MATCHING CHOICES A. durable medical equipment (DME)
B. HCPCS C. Medicare Carriers Manual (MCM) D. permanent national codes E. temporary national codes F. Level II modifiers G. Coverage Issues Manual (CIM) H. CMS HCPCS Workgroup B. Locate each term in the CPT index and record the codes that are listed for it. See example: CPT Description Code Ranges Epstein-Barr virus 86663 - 86665 Evisceration 65091-65093 65093, 65091, 49900 ETOH 80321-80322 80300– 80304, 80320–80322 Nasolacrimal duct 68816 68816, 68810, 68811, 68816, 68815, 21340, 70170 Myringotomy 69420-69421 Split Graphs 15100-15101 15100, 15101, 15120, 15121 Tetralogy of Fallot 33692-33697 C. List the name of the CPT section in which each of the following codes is located: CPT CODE CPT CODE SECTION LOCATION 99212 Evaluation and Management 90389 Medicine 75630 Radiology 00820 Anesthesia 80055 Pathology and Laboratory 0071T Category III 35180 Surgery 4000F Category II D. Determine whether the following codes are ICD-10-CM or CPT codes : CODE ICD-10-CM OR CPT CODE I10 ICD-10-CM
99283 CPT Z85.3 ICD-10-CM W61.01XA ICD-10-CM 1002F CPT S31.110A ICD-10-CM 19318 CPT 0075T CPT PART 2: HCPCS AND CPT CODES A . Determine whether the following codes are CPT HCPCS (Level I) or HCPCS (Level II) codes: CODE CPT HCPCS LEVEL 1 OR HCPCS LEVEL II CODE 15002 CPT J0520 HCPCS A0430 HCPCS 69990 CPT 72040 CPT E0992 HCPCS 28285 CPTA4649 B. Referring to your HCPCS Code listing (library or online), indicate the section in which the following HCPCS services are located: HCPCS SERVICE HCPCS CODE SECTION 1. Motorized wheelchair E 2. Alcohol wipes, box H A 3. PET imaging, whole body G 4. Ambulance waiting time A 5. Contact lens, gas permeable V C. HCPCS Code Sections - Identify the correct type of HCPCS Code by their initial letter: HCPCS CODE DESCRIPTION LETTER Transportation services A Codes Vision and hearing services V Codes
Temporary codes Q Codes DME codes E Codes Prosthetic procedures L Codes Temporary national codes for private insurers to identify drugs, services, supplies, and procedures that are not reimbursable under Medicare K Codes S Codes Diagnostic radiology services R Codes Chemotherapy drugs J Codes Laboratory and pathology P Codes B. DISCUSSION BOARD: Discuss the purpose of HCPCS Level I CPT and HCPCS Level II Codes and provide an example of each: The purpose of HCPCS Level I CPT helps providers with providing Medicare and other health insurance providers to help file health insurance claims.
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- Fall '14