AHA Coding Clinic® for HCPCS - 2012 Quarter 2; For Your Information
Requesting a HCPCS Level II Code
HCPCS Level II 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. These Level II HCPCS codes cover a variety of services, supplies and equipment. However, it should be noted that the existence of a HCPCS code does not guarantee coverage or non-coverage of an item or service. As the official clearinghouse for the Healthcare Common Procedure Coding System (HCPCS) on coding issues we continue to receive...
Subscribe or sign in to view the full article.
Article Overview
This article explains how HCPCS Level II code requests are handled, who serves as the clearinghouse for coding issues, and how responsibilities are divided between the American Hospital Association’s Central Office on HCPCS and CMS. It is relevant for coders, hospital billing staff, physicians, and other health professionals who need to understand request pathways, the scope of Level II HCPCS support, and the general types of code families included in the covered subset.
Why This Topic Matters
Understanding which organization handles interpretation versus code creation helps users route requests appropriately and avoid relying on a code being present as proof of coverage. The article also clarifies which broad HCPCS Level II groupings are supported through the referenced process.
What You Will Learn
- How HCPCS Level II code requests are organized
- Which organizations are involved in HCPCS coding issues and maintenance
- Which general HCPCS code families are addressed through the clearinghouse process
- How request-related guidance is framed at a high level
Who Should Read This
- Medical coders
- Hospital billing staff
- Physicians
- Other health professionals billing Medicare
- Revenue cycle professionals
Code Ranges Discussed
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com