HCPCS Codes - Medical Procedures, Supplies & DME Codes - c2 Codes
HCPCS Procedure, Supply & DME (Durable Medical Equipment) Codes ("c2" Codes):- C2596 Probe, image-guided, robotic, waterjet ablation HCPCS Code Code
- C2613 Lung biopsy plug with delivery system HCPCS Code Code
- C2614 probe percutaneous lumbar discectomy HCPCS Code Code
- C2615 sealant pulmonary liquid HCPCS Code Code
- C2616 brachytherapy source yttrium90 per source HCPCS Code Code
- C2617 stent noncoronary temporary delivery system HCPCS Code Code
- C2618 probe cryoablation HCPCS Code Code
- C2619 pacemaker dual chamber non rateresponsive implantable HCPCS Code Code
- C2620 pacemaker single chamber non rateresponsive implantable HCPCS Code Code
- C2621 pacemaker than single dual chamber implantable HCPCS Code Code
- C2622 prosthesis penile noninflatable HCPCS Code Code
- C2623 Catheter, transluminal angioplasty, drug-coated, non-laser HCPCS Code Code
- C2624 Implantable wireless pulmonary artery pressure sensor with HCPCS Code Code
- C2625 stent noncoronary temporary delivery system HCPCS Code Code
- C2626 infusion pump nonprogrammable temporary implantable HCPCS Code Code
- C2627 catheter suprapubiccystoscopic HCPCS Code Code
- C2628 catheter occlusion HCPCS Code Code
- C2629 introducersheath than guiding intracardiac electrophysiological laser HCPCS Code Code
- C2630 catheter electrophysiology diagnosticablation than 3d vector HCPCS Code Code
- C2631 repair device urinary incontinence sling graft HCPCS Code Code
- C2632 BRACHYTX SOL, I-125, PER MCI HCPCS Code Code
- C2633 brachytherapy source cesium131 per source HCPCS Code Code
- C2634 brachytherapy source high activity iodine125 greater HCPCS Code Code
- C2635 brachytherapy source high activity paladium103 greater HCPCS Code Code
- C2636 brachytherapy linear source paladium103 per 1 HCPCS Code Code
- C2637 brachytherapy source ytterbium169 per source HCPCS Code Code
- C2638 BRACHYTX, STRANDED, I-125 HCPCS Code Code
- C2639 BRACHYTX, NON-STRANDED,I-125 HCPCS Code Code
- C2640 BRACHYTX, STRANDED, P-103 HCPCS Code Code
- C2641 BRACHYTX, NON-STRANDED,P-103 HCPCS Code Code
- C2642 BRACHYTX, STRANDED, C-131 HCPCS Code Code
- C2643 BRACHYTX, NON-STRANDED,C-131 HCPCS Code Code
- C2644 Brachytherapy source, cesium-131 chloride solution, per millicurie HCPCS Code Code
- C2645 Brachytherapy planar source, palladium-103, per square millimeter HCPCS Code Code
- C2698 BRACHYTX, STRANDED, NOS HCPCS Code Code
- C2699 BRACHYTX, NON-STRANDED, NOS HCPCS Code Code
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HCPCS Medical Codes & Code Modifiers
(HCPCS is commonly pronounced Hick-Picks.)Each year, in the United States, health care insurers process over 5 billion claims for payment. For Medicare and other health insurance programs to ensure that these claims are processed in an orderly and consistent manner, standardized coding systems are essential. The HCPCS Level II Code Set is one of the standard code sets used for this purpose. The HCPCS is divided into two principal subsystems, referred to as level I and level II of the HCPCS. Level I of the HCPCS is comprised of CPT (Current Procedural Terminology), a numeric coding system maintained by the American Medical Association (AMA). The CPT is a uniform coding system consisting of descriptive terms and identifying codes that are used primarily to identify medical services and procedures furnished by physicians and other health care professionals. These health care professionals use the CPT to identify services and procedures for which they bill public or private health insurance programs. Decisions regarding the addition, deletion, or revision of CPT codes are made by the AMA. The CPT codes are republished and updated annually by the AMA. Level I of the HCPCS, the CPT codes, does not include codes needed to separately report medical items or services that are regularly billed by suppliers other than physicians.
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 ambulance services and durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) when used outside a physician's office. Because Medicare and other insurers cover a variety of services, supplies, and equipment that are not identified by CPT codes, the level II HCPCS codes were established for submitting claims for these items. The development and use of level II of the HCPCS began in the 1980's. Level II codes are also referred to as alpha-numeric codes because they consist of a single alphabetical letter followed by 4 numeric digits, while CPT codes are identified using 5 numeric digits.
In October of 2003, the Secretary of HHS delegated authority under the HIPAA legislation to CMS to maintain and distribute HCPCS Level II Codes. As stated in 42 CFR Sec. 414.40 (a) CMS establishes uniform national definitions of services, codes to represent services, and payment modifiers to the codes. Within CMS there is a CMS HCPCS Workgroup which is an internal workgroup comprised of representatives of the major components of CMS, as well as other consultants from pertinent Federal agencies. Prior to December 31, 2003, Level III HCPCS were developed and used by Medicaid State agencies, Medicare contractors, and private insurers in their specific programs or local areas of jurisdiction. For purposes of Medicare, level III codes were also referred to as local codes. Local codes were established when an insurer preferred that suppliers use a local code to identify a service, for which there is no level I or level II code, rather than use a "miscellaneous or not otherwise classified code." The Health Insurance Portability and Accountability Act of 1996 (HIPAA) required CMS to adopt standards for coding systems that are used for reporting health care transactions. We published, in the Federal Register on August 17, 2000 (65 FR 50312), regulations to implement this part of the HIPAA legislation. These regulations provided for the elimination of level III local codes by October 2002, at which time, the level I and level II code sets could be used. The elimination of local codes was postponed, as a result of section 532(a) of BIPA, which continued the use of local codes through December 31, 2003.
(Source: http://www.cms.hhs.gov/MedHCPCSGenInfo/)
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