Your HCPCS are level two of the CPT code or the HCPCS codes. It is one alpha character and four numeric characters generally.
For instance, the 'A' section in the HCPCS books refers to transportation and ambulance services, medical and surgical supplies, non-prescription drugs, and non-covered items. And by non-covered, this means non-covered by Medicare and generally Medicaid.
There may be other payers that would cover that particular services supply but Medicare does not. These are official Medicare rules. Many of the payers do follow the Medicare rule and some do partially, others have their own rules.
The 'B' section of the HCPCS codes is enteral and parenteral therapy. 'C' codes are drugs, biologicals and device codes used by many OPPS hospitals. OPPS is Outpatient Prospective System. 'D' is dental procedures. 'E' is durable medically equipment like wheelchairs, crutches, commodes, etcetera.
'G' codes are temporary procedures and professional services. Medicare, when they're doing some statistical analysis on a particular service or if they're implementing something new that they're going to cover, they sometimes assign a temporary 'G' code. That makes it easy for them to pull that out of their claim system and do analysis on that.
If they determine that this should be covered service on a permanent basis, they will assign a CPT code to it. So, you do need to monitor these guidelines because these don't always change once a year. That can change anytime during the year. Once they have determined that the 'G' code is no longer valid, use the CPT code instead.
'J' codes are injectable drugs. These are drugs that are normally not used in a normal course of treatment such as a physician's office where you might use a topical antiseptic and some of those - just the aspirin, Tylenol, such basic things. Those are usually included with your charges for the service. These injectable drugs are often chemotherapy drugs. These are other than oral method. They may be infusion drugs as well as injectable. And they are usually very costly drugs.
'L' is orthotic procedures such as shoes, braces, prosthesis. And 'V', the 'V' codes are the visions and hearing such as lens, prosthetic eyes, and hearing aids and so on.
They usually rely on your category those codes with HCPCS. And these cover the supplies that you normally used in providing medical treatment.
The CPT codes, Current Procedural Terminology, your Evaluation and Management visits or the E&M codes or some of the most important in this area. These are listed in the front of the coding books not in numerical order like the rest of the codes. But they're listed in the front of the books because they are most frequently used codes.
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