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Healthcare Common Procedure Coding System

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codes, also called local codes, were developed by state Medicaid agencies, Medicare contractors, and private insurers for use in specific programs and jurisdictions. The Health Insurance Portability and Accountability Act of 1996 (HIPAA) instructed CMS to adopt a standard coding systems for reporting
70:(CMS). Prior to 2001, CMS was known as the Health Care Financing Administration (HCFA). HCPCS was established in 1978 to provide a standardized coding system for describing the specific items and services provided in the delivery of health care. Such coding is necessary for 128:
medical transactions. The use of Level III codes was discontinued on December 31, 2003, in order to adhere to consistent coding standards. Level III codes were different from the modern CPT Category III codes, which were introduced in 2001 to code emerging technology.
557: 78:, and other health insurance programs to ensure that insurance claims are processed in an orderly and consistent manner. Initially, use of the codes was voluntary, but with the implementation of the 257: 521: 356: 511: 378: 626: 494: 474: 222: 572: 489: 79: 484: 331: 439: 479: 246: 688: 434: 603: 678: 516: 185: 138: 67: 412: 693: 636: 584: 454: 579: 324: 207: 657: 317: 178: 562: 547: 102: 47: 253: 121:
devices, and represent items and supplies and non-physician services, not covered by CPT-4 codes (Level I).
98: 43: 294: 289: 641: 143: 82:
of 1996 (HIPAA) use of the HCPCS for transactions involving health care information became mandatory.
371: 683: 383: 366: 71: 361: 340: 17: 8: 618: 631: 348: 567: 39: 535: 393: 672: 551: 109: 113:
codes are alphanumeric and primarily include non-physician services such as
499: 284: 164: 309: 36: 118: 594: 449: 114: 75: 589: 218: 598: 422: 417: 35:, often pronounced by its acronym as "hick picks") is a set of 608: 504: 444: 427: 208:"Coding and Payment Guide for Behavioral Health Services" 290:
HCPCS Level II alphanumeric procedure and modifier codes
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Health Insurance Portability and Accountability Act
670: 179:"New CMS coding changes will help beneficiaries" 247:"CPT® Category III Codes: The First Ten Years" 325: 162: 339: 332: 318: 186:Centers for Medicare and Medicaid Services 139:Centers for Medicare and Medicaid Services 68:Centers for Medicare and Medicaid Services 29:Healthcare Common Procedure Coding System 66:, a medical billing process used by the 300:HCPCS Level II Codes & Drug Pricing 14: 671: 90:HCPCS includes three levels of codes: 689:Medicare and Medicaid (United States) 313: 64:HCFA Common Procedure Coding System 24: 85: 25: 705: 679:Clinical procedure classification 278: 263:from the original on 2018-12-01 228:from the original on 2018-12-01 295:NDC-HCPCS crosswalk data files 239: 200: 171: 156: 103:Current Procedural Terminology 48:Current Procedural Terminology 13: 1: 149: 694:American Medical Association 254:American Medical Association 188:. October 6, 2004. p. 1 99:American Medical Association 44:American Medical Association 7: 132: 10: 710: 144:Current Dental Terminology 53: 650: 617: 534: 463: 401: 392: 347: 305:2020 HCPCS Level 2 codes 341:Medical classification 215:www.optum360coding.com 105:(CPT) and is numeric. 62:originally stood for 619:Pharmaceutical codes 349:Topographical codes 163:HCPCS Code range. 666: 665: 530: 529: 16:(Redirected from 701: 536:Procedural codes 468: 406: 399: 398: 394:Diagnostic codes 334: 327: 320: 311: 310: 272: 271: 269: 268: 262: 251: 243: 237: 236: 234: 233: 227: 212: 204: 198: 197: 195: 193: 183: 175: 169: 168: 160: 97:consists of the 21: 709: 708: 704: 703: 702: 700: 699: 698: 684:Medical manuals 669: 668: 667: 662: 646: 613: 526: 464: 459: 402: 388: 343: 338: 281: 276: 275: 266: 264: 260: 249: 245: 244: 240: 231: 229: 225: 210: 206: 205: 201: 191: 189: 181: 177: 176: 172: 161: 157: 152: 135: 88: 86:Levels of codes 56: 40:procedure codes 23: 22: 15: 12: 11: 5: 707: 697: 696: 691: 686: 681: 664: 663: 661: 660: 654: 652: 651:Outcomes codes 648: 647: 645: 644: 639: 634: 629: 623: 621: 615: 614: 612: 611: 606: 601: 592: 587: 582: 577: 576: 575: 570: 565: 555: 540: 538: 532: 531: 528: 527: 525: 524: 519: 514: 509: 508: 507: 502: 492: 487: 482: 477: 471: 469: 461: 460: 458: 457: 452: 447: 442: 437: 432: 431: 430: 425: 420: 409: 407: 396: 390: 389: 387: 386: 381: 376: 375: 374: 369: 364: 353: 351: 345: 344: 337: 336: 329: 322: 314: 308: 307: 302: 297: 292: 287: 280: 279:External links 277: 274: 273: 238: 199: 170: 154: 153: 151: 148: 147: 146: 141: 134: 131: 130: 129: 122: 106: 87: 84: 55: 52: 9: 6: 4: 3: 2: 706: 695: 692: 690: 687: 685: 682: 680: 677: 676: 674: 659: 656: 655: 653: 649: 643: 640: 638: 637:SNOMED C axis 635: 633: 630: 628: 625: 624: 622: 620: 616: 610: 607: 605: 602: 600: 596: 593: 591: 588: 586: 585:SNOMED P axis 583: 581: 578: 574: 571: 569: 568:9-CM Volume 3 566: 564: 561: 560: 559: 556: 553: 549: 545: 542: 541: 539: 537: 533: 523: 520: 518: 515: 513: 510: 506: 503: 501: 498: 497: 496: 493: 491: 488: 486: 483: 481: 478: 476: 473: 472: 470: 467: 462: 456: 455:SNOMED D axis 453: 451: 448: 446: 443: 441: 438: 436: 433: 429: 426: 424: 421: 419: 416: 415: 414: 411: 410: 408: 405: 400: 397: 395: 391: 385: 382: 380: 379:SNOMED T axis 377: 373: 370: 368: 365: 363: 360: 359: 358: 355: 354: 352: 350: 346: 342: 335: 330: 328: 323: 321: 316: 315: 312: 306: 303: 301: 298: 296: 293: 291: 288: 286: 285:Official site 283: 282: 259: 255: 248: 242: 224: 220: 216: 209: 203: 187: 180: 174: 166: 165:"HCPCS Codes" 159: 155: 145: 142: 140: 137: 136: 126: 123: 120: 117:services and 116: 112: 111: 107: 104: 100: 96: 93: 92: 91: 83: 81: 77: 73: 69: 65: 61: 51: 49: 45: 42:based on the 41: 38: 34: 30: 19: 543: 466:specialized: 465: 403: 357:Terminologia 265:. Retrieved 241: 230:. Retrieved 214: 202: 190:. Retrieved 173: 158: 124: 108: 94: 89: 63: 59: 58:The acronym 57: 32: 28: 26: 384:MeSH A axis 192:January 13, 37:health care 673:Categories 595:Read codes 450:Read codes 267:2018-01-01 232:2018-12-01 150:References 119:prosthetic 125:Level III 115:ambulance 404:general: 258:Archived 223:Archived 133:See also 110:Level II 76:Medicaid 72:Medicare 590:OPS-301 552:Level 2 219:Ingenix 95:Level I 54:History 50:(CPT). 599:OPCS-4 563:10 PCS 522:OSIICS 517:CCMD-3 435:ICPC-2 609:LOINC 544:HCPCS 475:ICD-O 445:NANDA 261:(PDF) 250:(PDF) 226:(PDF) 211:(PDF) 182:(PDF) 60:HCPCS 33:HCPCS 18:HCPCS 604:CCAM 573:ICHI 490:ILDS 485:ICHD 480:ICSD 194:2016 27:The 658:NOC 642:DIN 632:NDC 627:ATC 580:NIC 558:ICD 548:CPT 512:BPA 495:DSM 440:DRC 413:ICD 101:'s 46:'s 675:: 550:, 500:IV 423:10 418:11 372:TE 367:TH 362:TA 256:. 252:. 221:. 217:. 213:. 184:. 74:, 597:/ 554:) 546:( 505:5 428:9 333:e 326:t 319:v 270:. 235:. 196:. 167:. 31:( 20:)

Index

HCPCS
health care
procedure codes
American Medical Association
Current Procedural Terminology
Centers for Medicare and Medicaid Services
Medicare
Medicaid
Health Insurance Portability and Accountability Act
American Medical Association
Current Procedural Terminology
Level II
ambulance
prosthetic
Centers for Medicare and Medicaid Services
Current Dental Terminology
"HCPCS Codes"
"New CMS coding changes will help beneficiaries"
Centers for Medicare and Medicaid Services
"Coding and Payment Guide for Behavioral Health Services"
Ingenix
Archived
"CPT® Category III Codes: The First Ten Years"
American Medical Association
Archived
Official site
HCPCS Level II alphanumeric procedure and modifier codes
NDC-HCPCS crosswalk data files
HCPCS Level II Codes & Drug Pricing
2020 HCPCS Level 2 codes

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