What is an HCPCS code example?
Asked by: Precious Langosh | Last update: July 2, 2025Score: 4.4/5 (23 votes)
How to determine HCPCS code?
All HCPCS Level II codes consist of five characters, beginning with a letter (A–V) and followed by four numeric digits. The letter that begins the HCPCS Level II code represents the code chapter to which the HCPCS code belongs, thereby grouping similar items together.
What is the difference between a CPT code and a HCPCS code?
CPT codes are entirely numeric and consist of five digits. HCPCS codes are alphanumeric, which means they use both numbers and letters. You'll always see a letter followed by four numbers. These structures make it easy to differentiate between an HCPCS code vs.
What is the format of HCPCS?
HCPCS Level II codes (also known as alpha-numeric codes) consist of a single alphabetical letter followed by 4 numeric digits. CMS maintains HCPCS Level II codes, including decisions about additions, revisions, and deletions to the codes. The HCPCS Level II coding system began in the 1980s.
What is the HCPCS procedure code?
The Healthcare Common Procedure Coding System (HCPCS) is a collection of codes that represent procedures, supplies, products and services which may be provided to Medicare beneficiaries and to individuals enrolled in private health insurance programs.
When Do You Use a CPT Code or HCPCS Level II Code?
What is an example of a HCPCS code?
An example of an HCPCS Level I is 90716, which coders can use to denote the administration of varicella or chickenpox vaccine. Meanwhile, an example of an HCPCS Level II code is R0070.
What is the HCPCS code E0424?
HCPCS code E0424 for Stationary compressed gaseous oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing as maintained by CMS falls under Oxygen Delivery Systems and Related Supplies .
Do HCPCS codes always start with a letter?
While Level I codes are almost always numeric, Level II codes always begin with single alphabetical character, ranging from A to V, followed by four numbers. In coding and policy discussions the term HCPCS is typically used in reference to Level II codes, while Level I codes are referred to as CPT codes.
What is an example of a CPT code?
Here are some examples of CPT codes: 99397 can be used for a preventive exam if you are over age 65. 90658 can be used for the administration of a flu shot. 90716 can be used for the administration of the chickenpox vaccine (varicella).
How many digits are HCPCS codes?
HCPCS Level II codes are alpha-numeric codes because they consist of a single alphabetical letter followed by four numeric digits, while CPT® codes primarily are identified using five numeric digits. The development and use of HCPCS Level II codes began in the 1980s.
When to use HCPCS code?
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 such as drugs and biologicals, or durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) used in outpatient settings such as hospital outpatient ...
Is HCPCS a diagnosis code?
ICD-10-CM diagnosis codes provide the reason for seeking health care; ICD-10-PCS procedure codes tell what inpatient treatment and services the patient got; CPT (HCPCS Level I) codes describe outpatient services and procedures; and providers generally use HCPCS (Level II) codes for equipment, drugs, and supplies for ...
What type of code is 99211?
Code 99211 is commonly used for services such as patient education, simple rechecks and medication reviews. Some procedures can also appropriately be reported with this code.
What's the difference between CPT and HCPCS coding?
HCPCS stands for Healthcare Common Procedure Coding System and is used to classify medical procedures and services. Meanwhile, CPT, or Current Procedural Terminology, is used to describe medical procedures and services.
Are HCPCS codes only for Medicare?
Coders today use HCPCS codes to represent medical procedures to Medicare, Medicaid, and several other third-party payers. The code set is divided into three levels. Level one is identical to CPT, though technically those codes, when used to bill Medicare or Medicaid, are HCPCS codes.
What CPT codes are deleted for 2025?
In recognition of these changes, for CPT 2025, codes 49203, 49204, 49205 have been deleted and replaced by new codes 49186, 49187, 49188, 49189, 49190 that describe open excision or destruction of intra-abdominal primary or secondary tumor(s) or cyst(s), including cytoreduction, debulking, or other methods of removal ...
What is HCPCS in medical billing?
The Healthcare Common Procedure Coding System (HCPCS) is a code set developed by the Centers for Medicare and Medicaid Services (CMS) for reporting medical procedures and services. Procedures and services have specified codes within the system used to standardize medical billing.
What is the difference between 97124 and 97140?
97124: Therapeutic procedure, one or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion). 97140: Manual therapy techniques (e.g., mobilization/manipulation, manual lymphatic drainage, manual traction), one or more regions, each 15 minutes.
Can physicians bill HCPCS codes?
HCPCS allows physicians to document the services provided. These codes are added to insurance claims and submitted to insurance companies for payment.
What is the CPT code 99214?
CPT® code 99214: Established patient office visit, 30-39 minutes.
What is the HCPCS code S9152?
HCPCS code S9152 for Speech therapy, re-evaluation as maintained by CMS falls under Miscellaneous Supplies and Services .
What is the difference between J code and HCPCS code?
While ICD-10 codes handle medical diagnoses and HCPCS Level I codes manage specific medical procedures, J-codes serve a unique purpose. J-codes, part of HCPCS Level II, are alpha-numeric codes designed for non-oral medications.
What is the HCPCS code E0483?
HCPCS code E0483 (HIGH FREQUENCY CHEST WALL OSCILLATION SYSTEM, WITH FULL ANTERIOR AND/OR POSTERIOR THORACIC REGION RECEIVING SIMULTANEOUS EXTERNAL OSCILLATION, INCLUDES ALL ACCESSORIES AND SUPPLIES, EACH) devices (HFCWO) use positive and negative pressure changes to augment peripheral and tracheal mucus movement ...
What is the HCPCS code E0277?
HCPCS code E0277 for Powered pressure-reducing air mattress as maintained by CMS falls under Hospital Beds and Associated Supplies .
What is HCPCS code 52310?
CPT® Code 52310 in section: Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure)