AHA Coding Clinic® for HCPCS - 2009 Quarter 2
HCPCS Level II: Who, What, and Where
Can you please clarify the items included in HCPCS code C1821 , Interspinous process distraction device (implantable) ? My research indicates there are two types of interspinous spacers – static or dynamic. Would both types be included and appropriately coded using HCPCS code C1821 ? ...
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Article Overview
This article explains how HCPCS is organized and which organizations handle different portions of the system, with emphasis on the HCPCS Level II code families commonly encountered in outpatient and facility settings. It is written for coders, billers, and other health care professionals who need a broad understanding of HCPCS categories, where to direct questions, and how the system is maintained across Medicare and other payers.
Why This Topic Matters
HCPCS Level II is used across hospitals, physicians, suppliers, and other providers, so understanding its organization and oversight helps ensure accurate reporting and proper routing of coding questions. The article also helps readers identify which general code groups fall under different administrative pathways.
Article Sections
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Overview of HCPCS and Central Office scope
Introduces HCPCS, its use in facility-based coding inquiries, and the portion of the system addressed by the Central Office on HCPCS. It also notes the general types of code groups within that scope.
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HCPCS Levels I and II
Describes the two main HCPCS subsystems and identifies the organizations associated with each. It also explains the broad difference between the levels in terms of coding purpose and use.
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HCPCS Level II code families
Provides an alphabetical overview of major HCPCS Level II code groupings and the broad subject areas they cover. The section also notes which organizations or contractors may handle questions for selected groups.
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Coding questions and example
Presents a sample coding question and a response about a device-related HCPCS issue. This section illustrates the type of inquiry discussed in the article without providing broader coding policy detail.
What You Will Learn
- How HCPCS is organized at a high level
- Which organizations maintain or oversee different HCPCS components
- What broad types of services, supplies, and settings are represented in HCPCS Level II
- Where to direct general questions about selected HCPCS code families
- How the article frames a sample HCPCS inquiry
Who Should Read This
- Hospital coders
- Facility billing staff
- Physicians and other health care professionals
- Medical suppliers
- Revenue cycle and reimbursement staff
Codes Discussed
Code Ranges Discussed
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