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Question 1
What organization maintains and updates HCPCS Level II codes?
Answer: The Centers for Medicare and Medicaid Services (CMS) maintains and updates HCPCS Level II codes on an annual basis.
Question 2
What is the structure of a HCPCS Level II code?
Answer: A HCPCS Level II code consists of one letter (A–V) followed by four numeric digits, for a total of five characters.
Question 3
What types of items and services are primarily reported using HCPCS Level II codes?
Answer: HCPCS Level II codes report supplies, durable medical equipment, drugs, ambulance services, orthotics, prosthetics, and other items and services not adequately described by CPT codes.
Question 4
Which payers are required to accept HCPCS Level II codes?
Answer: Medicare and Medicaid are required to accept HCPCS Level II codes; however, private payers may or may not accept them at their discretion.
Question 5
What letter range is used for HCPCS Level II temporary codes assigned by CMS?
Answer: The letter 'G' is used for temporary procedure and professional services codes assigned by CMS, and 'Q' codes are also temporary codes used by CMS.