The HCPCS codes are most often used for billing Medicare claims but may also be used for Medicaid claims and for some private insurance carriers. Identify and describe the three levels of coding used in this system
What will be an ideal response?
Answer:
• Level I utilizes the current CPT® codes for most procedures.
• Level II utilizes the HCPCS codes listed in the HCPCS manual.
• Level III utilizes codes which are specific to the local Medicare/Medicaid carrier. Level III codes were discontinued on December 31, 2003.
One way to code using the HCPCS system is to check Level II codes first and then go to the CPT manual. Another way is to go to the CPT codes first and then the HCPCS; it depends on the type of coding being done.
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