HCPCS Codes - Medical Procedures, Supplies & DME Codes - q3 Codes
HCPCS Procedure, Supply & DME (Durable Medical Equipment) Codes ("q3" Codes):- Q3000 RUBIDIUM RB-82 HCPCS Code Code
- Q3001 radioelements brachytherapy any type each HCPCS Code Code
- Q3002 GALLIUM GA 67 HCPCS Code Code
- Q3003 TECHNETIUM TC99M BICISATE HCPCS Code Code
- Q3004 XENON XE 133 HCPCS Code Code
- Q3005 TECHNETIUM TC99M MERTIATIDE HCPCS Code Code
- Q3006 TECHNETIUM TC99M GLUCEPATATE HCPCS Code Code
- Q3007 SODIUM PHOSPHATE P32 HCPCS Code Code
- Q3008 INDIUM 111-IN PENTETREOTIDE HCPCS Code Code
- Q3009 TECHNETIUM TC99M OXIDRONATE HCPCS Code Code
- Q3010 TECHNETIUM TC99MLABELEDRBCS HCPCS Code Code
- Q3011 CHROMIC PHOSPHATE P32 HCPCS Code Code
- Q3012 CYANOCOBALAMIN COBALT CO57 HCPCS Code Code
- Q3014 telehealth originating site facility fee HCPCS Code Code
- Q3019 ALS EMER TRANS NO ALS SERV HCPCS Code Code
- Q3020 ALS NONEMER TRANS NO ALS SER HCPCS Code Code
- Q3025 injection interferon beta1a 11 mcg intramuscular HCPCS Code Code
- Q3026 injection interferon beta1a 11 mcg subcutaneous HCPCS Code Code
- Q3027 Injection, interferon beta-1a, 1 mcg for intramuscular HCPCS Code Code
- Q3028 Injection, interferon beta-1a, 1 mcg for subcutaneous HCPCS Code Code
- Q3031 collagen skin test 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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