J1230 injection methadone hcl up 10 mg HCPCS

HCPCS Medical Procedure/Supply Code:

Code:	J1230
Descr:	INJECTION, METHADONE HCL, UP TO 10 MG

There may also be notes and more information about this code.  For full information about this HCPCS code (fees, RVUs, NCCI edits, alerts, tips, crosswalks, LMPR, LCD, NCD) subscribe to FindACode.com.

Next Code:	J1240 injection dimenhydrinate up 50 mg HCPCS
Codes In Group:	HCPCS Code Group: J1
Code Groups:	HCPCS Supply Codes
Prior Code:	J1212 injection dmso dimethyl sulfoxide 50 50 HCPCS

HCPCS

Code(s)	Description
J0120	TETRACYCLIN INJECTION
J0128	ABARELIX INJECTION
J0129	ABATACEPT INJECTION
J0130	ABCIXIMAB INJECTION
J0132	ACETYLCYSTEINE INJECTION
J0133	ACYCLOVIR INJECTION
J0135	ADALIMUMAB INJECTION
J0150	INJECTION ADENOSINE 6 MG
J0152	ADENOSINE INJECTION
J0170	ADRENALIN EPINEPHRIN INJECT
J0180	AGALSIDASE BETA INJECTION
J0190	INJ BIPERIDEN LACTATE/5 MG
J0200	ALATROFLOXACIN MESYLATE
J0205	ALGLUCERASE INJECTION
J0207	AMIFOSTINE
J0210	METHYLDOPATE HCL INJECTION
J0215	ALEFACEPT
J0220	ALGLUCOSIDASE ALFA INJECTION
J0256	ALPHA 1 PROTEINASE INHIBITOR
J0270	ALPROSTADIL FOR INJECTION
J0275	ALPROSTADIL URETHRAL SUPPOS
J0278	AMIKACIN SULFATE INJECTION
J0280	AMINOPHYLLIN 250 MG INJ
J0282	AMIODARONE HCL
J0285	AMPHOTERICIN B
J0287	AMPHOTERICIN B LIPID COMPLEX
J0288	AMPHO B CHOLESTERYL SULFATE
J0289	AMPHOTERICIN B LIPOSOME INJ
J0290	AMPICILLIN 500 MG INJ
J0295	AMPICILLIN SODIUM PER 1.5 GM
J0300	AMOBARBITAL 125 MG INJ
J0330	SUCCINYCHOLINE CHLORIDE INJ
J0348	Anidulafungin injection
J0350	INJECTION ANISTREPLASE 30 U
J0360	HYDRALAZINE HCL INJECTION
J0364	APOMORPHINE HYDROCHLORIDE
J0365	APROTONIN, 10,000 KIU
J0380	INJ METARAMINOL BITARTRATE
J0390	CHLOROQUINE INJECTION
J0395	Arbutamine hcl injection
J0400	ARIPIPRAZOLE INJECTION
J0456	AZITHROMYCIN
J0460	ATROPINE SULFATE INJECTION
J0470	DIMECAPROL INJECTION
J0475	BACLOFEN 10 MG INJECTION
J0476	BACLOFEN INTRATHECAL TRIAL
J0480	BASILIXIMAB
J0500	DICYCLOMINE INJECTION
J0515	INJ BENZTROPINE MESYLATE
J0520	BETHANECHOL CHLORIDE INJECT
J0530	PENICILLIN G BENZATHINE INJ
J0540	PENICILLIN G BENZATHINE INJ
J0550	PENICILLIN G BENZATHINE INJ
J0560	PENICILLIN G BENZATHINE INJ
J0570	PENICILLIN G BENZATHINE INJ
J0580	PENICILLIN G BENZATHINE INJ
J0583	BIVALIRUDIN
J0585	BOTULINUM TOXIN A PER UNIT
J0587	BOTULINUM TOXIN TYPE B
J0592	BUPRENORPHINE HYDROCHLORIDE
J0594	BUSULFAN INJECTION
J0595	BUTORPHANOL TARTRATE 1 MG
J0600	EDETATE CALCIUM DISODIUM INJ
J0610	CALCIUM GLUCONATE INJECTION
J0620	CALCIUM GLYCER & LACT/10 ML
J0630	CALCITONIN SALMON INJECTION
J0636	INJ CALCITRIOL PER 0.1 MCG
J0637	CASPOFUNGIN ACETATE
J0640	LEUCOVORIN CALCIUM INJECTION
J0670	INJ MEPIVACAINE HCL/10 ML
J0690	CEFAZOLIN SODIUM INJECTION
J0692	CEFEPIME HCL FOR INJECTION
J0694	CEFOXITIN SODIUM INJECTION
J0696	CEFTRIAXONE SODIUM INJECTION
J0697	STERILE CEFUROXIME INJECTION
J0698	CEFOTAXIME SODIUM INJECTION
J0702	BETAMETHASONE ACET&SOD PHOSP
J0704	BETAMETHASONE SOD PHOSP/4 MG
J0706	CAFFEINE CITRATE INJECTION
J0710	CEPHAPIRIN SODIUM INJECTION
J0713	INJ CEFTAZIDIME PER 500 MG
J0715	CEFTIZOXIME SODIUM / 500 MG
J0720	CHLORAMPHENICOL SODIUM INJEC
J0725	CHORIONIC GONADOTROPIN/1000U
J0735	CLONIDINE HYDROCHLORIDE
J0740	CIDOFOVIR INJECTION
J0743	CILASTATIN SODIUM INJECTION
J0744	CIPROFLOXACIN IV
J0745	INJ CODEINE PHOSPHATE /30 MG
J0760	COLCHICINE INJECTION
J0770	COLISTIMETHATE SODIUM INJ
J0780	PROCHLORPERAZINE INJECTION
J0795	CORTICORELIN OVINE TRIFLUTAL
J0800	CORTICOTROPIN INJECTION
J0835	INJ COSYNTROPIN PER 0.25 MG
J0850	CYTOMEGALOVIRUS IMM IV /VIAL
J0878	DAPTOMYCIN INJECTION
J0881	DARBEPOETIN ALFA, NON-ESRD
J0882	DARBEPOETIN ALFA, ESRD USE
J0885	EPOETIN ALFA, NON-ESRD
J0886	EPOETIN ALFA 1000 UNITS ESRD
J0894	DECITABINE INJECTION
J0895	DEFEROXAMINE MESYLATE INJ
J0900	TESTOSTERONE ENANTHATE INJ
J0945	BROMPHENIRAMINE MALEATE INJ
J0970	ESTRADIOL VALERATE INJECTION
J1000	DEPO-ESTRADIOL CYPIONATE INJ
J1020	METHYLPREDNISOLONE 20 MG INJ
J1030	METHYLPREDNISOLONE 40 MG INJ
J1040	METHYLPREDNISOLONE 80 MG INJ
J1051	MEDROXYPROGESTERONE INJ
J1055	MEDRXYPROGESTER ACETATE INJ
J1056	MA/EC CONTRACEPTIVEINJECTION
J1060	TESTOSTERONE CYPIONATE 1 ML
J1070	TESTOSTERONE CYPIONAT 100 MG
J1080	TESTOSTERONE CYPIONAT 200 MG
J1094	INJ DEXAMETHASONE ACETATE
J1100	DEXAMETHASONE SODIUM PHOS
J1110	INJ DIHYDROERGOTAMINE MESYLT
J1120	ACETAZOLAMID SODIUM INJECTIO
J1160	DIGOXIN INJECTION
J1162	DIGOXIN IMMUNE FAB (OVINE)
J1165	PHENYTOIN SODIUM INJECTION
J1170	HYDROMORPHONE INJECTION
J1180	DYPHYLLINE INJECTION
J1190	DEXRAZOXANE HCL INJECTION
J1200	DIPHENHYDRAMINE HCL INJECTIO
J1205	CHLOROTHIAZIDE SODIUM INJ
J1212	DIMETHYL SULFOXIDE 50% 50 ML
J1230	METHADONE INJECTION
J1240	DIMENHYDRINATE INJECTION
J1245	DIPYRIDAMOLE INJECTION
J1250	INJ DOBUTAMINE HCL/250 MG
J1260	DOLASETRON MESYLATE
J1265	DOPAMINE INJECTION
J1267	Doripenem injection
J1270	INJECTION, DOXERCALCIFEROL
J1300	ECULIZUMAB INJECTION
J1320	AMITRIPTYLINE INJECTION
J1324	ENFUVIRTIDE INJECTION
J1325	EPOPROSTENOL INJECTION
J1327	EPTIFIBATIDE INJECTION
J1330	ERGONOVINE MALEATE INJECTION
J1335	ERTAPENEM INJECTION
J1364	ERYTHRO LACTOBIONATE /500 MG
J1380	ESTRADIOL VALERATE 10 MG INJ
J1390	ESTRADIOL VALERATE 20 MG INJ
J1410	INJ ESTROGEN CONJUGATE 25 MG
J1430	ETHANOLAMINE OLEATE 100 MG
J1435	INJECTION ESTRONE PER 1 MG
J1436	ETIDRONATE DISODIUM INJ
J1438	ETANERCEPT INJECTION
J1440	FILGRASTIM 300 MCG INJECTION
J1441	FILGRASTIM 480 MCG INJECTION
J1450	FLUCONAZOLE
J1451	FOMEPIZOLE, 15 MG
J1452	INTRAOCULAR FOMIVIRSEN NA
J1453	Fosaprepitant injection
J1455	FOSCARNET SODIUM INJECTION
J1457	GALLIUM NITRATE INJECTION
J1458	GALSULFASE INJECTION
J1459	Inj IVIG privigen 500 mg
J1460	GAMMA GLOBULIN 1 CC INJ
J1470	GAMMA GLOBULIN 2 CC INJ
J1480	GAMMA GLOBULIN 3 CC INJ
J1490	GAMMA GLOBULIN 4 CC INJ
J1500	GAMMA GLOBULIN 5 CC INJ
J1510	GAMMA GLOBULIN 6 CC INJ
J1520	GAMMA GLOBULIN 7 CC INJ
J1530	GAMMA GLOBULIN 8 CC INJ
J1540	GAMMA GLOBULIN 9 CC INJ
J1550	GAMMA GLOBULIN 10 CC INJ
J1560	GAMMA GLOBULIN > 10 CC INJ
J1561	GAMUNEX INJECTION
J1562	VIVAGLOBIN, INJ
J1565	RSV-IVIG
J1566	IMMUNE GLOBULIN, POWDER
J1568	OCTAGAM INJECTION
J1569	GAMMAGARD LIQUID INJECTION
J1570	GANCICLOVIR SODIUM INJECTION
J1571	Hepagam b im injection
J1572	Flebogamma injection
J1573	Hepagam b intravenous, inj
J1580	GARAMYCIN GENTAMICIN INJ
J1590	GATIFLOXACIN INJECTION
J1595	INJECTION GLATIRAMER ACETATE
J1600	GOLD SODIUM THIOMALEATE INJ
J1610	GLUCAGON HYDROCHLORIDE/1 MG
J1620	GONADORELIN HYDROCH/ 100 MCG
J1626	Granisetron hcl injection
J1630	HALOPERIDOL INJECTION
J1631	HALOPERIDOL DECANOATE INJ
J1640	HEMIN, 1 MG
J1642	INJ HEPARIN SODIUM PER 10 U
J1644	INJ HEPARIN SODIUM PER 1000U
J1645	DALTEPARIN SODIUM
J1650	INJ ENOXAPARIN SODIUM
J1652	FONDAPARINUX SODIUM
J1655	TINZAPARIN SODIUM INJECTION
J1670	TETANUS IMMUNE GLOBULIN INJ
J1675	HISTRELIN ACETATE
J1700	HYDROCORTISONE ACETATE INJ
J1710	HYDROCORTISONE SODIUM PH INJ
J1720	HYDROCORTISONE SODIUM SUCC I
J1730	DIAZOXIDE INJECTION
J1740	IBANDRONATE SODIUM INJECTION
J1742	IBUTILIDE FUMARATE INJECTION
J1743	IDURSULFASE INJECTION
J1745	INFLIXIMAB INJECTION
J1750	Inj iron dextran
J1756	IRON SUCROSE INJECTION
J1785	INJECTION IMIGLUCERASE /UNIT
J1790	DROPERIDOL INJECTION
J1800	PROPRANOLOL INJECTION
J1810	DROPERIDOL/FENTANYL INJ
J1815	INSULIN INJECTION
J1817	INSULIN FOR INSULIN PUMP USE
J1825	INTERFERON BETA-1A
J1830	INTERFERON BETA-1B / .25 MG
J1835	ITRACONAZOLE INJECTION
J1840	KANAMYCIN SULFATE 500 MG INJ
J1850	KANAMYCIN SULFATE 75 MG INJ
J1885	KETOROLAC TROMETHAMINE INJ
J1890	CEPHALOTHIN SODIUM INJECTION
J1930	Lanreotide injection
J1931	LARONIDASE INJECTION
J1940	FUROSEMIDE INJECTION
J1945	LEPIRUDIN
J1950	LEUPROLIDE ACETATE /3.75 MG
J1953	Levetiracetam injection
J1955	INJ LEVOCARNITINE PER 1 GM
J1956	LEVOFLOXACIN INJECTION
J1960	LEVORPHANOL TARTRATE INJ
J1980	HYOSCYAMINE SULFATE INJ
J1990	CHLORDIAZEPOXIDE INJECTION
J2001	LIDOCAINE INJECTION
J2010	LINCOMYCIN INJECTION
J2020	LINEZOLID INJECTION
J2060	LORAZEPAM INJECTION
J2150	MANNITOL INJECTION
J2170	MECASERMIN INJECTION
J2175	MEPERIDINE HYDROCHL /100 MG
J2180	MEPERIDINE/PROMETHAZINE INJ
J2185	MEROPENEM
J2210	METHYLERGONOVIN MALEATE INJ
J2248	MICAFUNGIN SODIUM INJECTION
J2250	INJ MIDAZOLAM HYDROCHLORIDE
J2260	INJ MILRINONE LACTATE / 5 MG
J2270	MORPHINE SULFATE INJECTION
J2271	MORPHINE SO4 INJECTION 100MG
J2275	MORPHINE SULFATE INJECTION
J2278	ZICONOTIDE INJECTION
J2280	INJ, MOXIFLOXACIN 100 MG
J2300	INJ NALBUPHINE HYDROCHLORIDE
J2310	INJ NALOXONE HYDROCHLORIDE
J2315	NALTREXONE, DEPOT FORM
J2320	NANDROLONE DECANOATE 50 MG
J2321	NANDROLONE DECANOATE 100 MG
J2322	NANDROLONE DECANOATE 200 MG
J2323	NATALIZUMAB INJECTION
J2325	NESIRITIDE INJECTION
J2353	OCTREOTIDE INJECTION, DEPOT
J2354	OCTREOTIDE INJ, NON-DEPOT
J2355	OPRELVEKIN INJECTION
J2357	OMALIZUMAB INJECTION
J2360	ORPHENADRINE INJECTION
J2370	PHENYLEPHRINE HCL INJECTION
J2400	CHLOROPROCAINE HCL INJECTION
J2405	ONDANSETRON HCL INJECTION
J2410	OXYMORPHONE HCL INJECTION
J2425	PALIFERMIN INJECTION
J2430	PAMIDRONATE DISODIUM /30 MG
J2440	PAPAVERIN HCL INJECTION
J2460	OXYTETRACYCLINE INJECTION
J2469	Palonosetron hcl
J2501	PARICALCITOL
J2503	PEGAPTANIB SODIUM INJECTION
J2504	PEGADEMASE BOVINE, 25 IU
J2505	INJECTION, PEGFILGRASTIM 6MG
J2510	PENICILLIN G PROCAINE INJ
J2513	PENTASTARCH 10% SOLUTION
J2515	PENTOBARBITAL SODIUM INJ
J2540	PENICILLIN G POTASSIUM INJ
J2543	PIPERACILLIN/TAZOBACTAM
J2545	PENTAMIDINE NON-COMP UNIT
J2550	PROMETHAZINE HCL INJECTION
J2560	PHENOBARBITAL SODIUM INJ
J2590	OXYTOCIN INJECTION
J2597	INJ DESMOPRESSIN ACETATE
J2650	PREDNISOLONE ACETATE INJ
J2670	TOTAZOLINE HCL INJECTION
J2675	INJ PROGESTERONE PER 50 MG
J2680	FLUPHENAZINE DECANOATE 25 MG
J2690	PROCAINAMIDE HCL INJECTION
J2700	OXACILLIN SODIUM INJECITON
J2710	NEOSTIGMINE METHYLSLFTE INJ
J2720	INJ PROTAMINE SULFATE/10 MG
J2724	Protein c concentrate
J2725	INJ PROTIRELIN PER 250 MCG
J2730	PRALIDOXIME CHLORIDE INJ
J2760	PHENTOLAINE MESYLATE INJ
J2765	METOCLOPRAMIDE HCL INJECTION
J2770	QUINUPRISTIN/DALFOPRISTIN
J2778	RANIBIZUMAB INJECTION
J2780	RANITIDINE HYDROCHLORIDE INJ
J2783	RASBURICASE
J2785	Regadenoson injection
J2788	Rho d immune globulin 50 mcg
J2790	Rho d immune globulin inj
J2791	RHOPHYLAC INJECTION
J2792	RHO(D) IMMUNE GLOBULIN H, SD
J2794	RISPERIDONE, LONG ACTING
J2795	ROPIVACAINE HCL INJECTION
J2800	METHOCARBAMOL INJECTION
J2805	SINCALIDE INJECTION
J2810	INJ THEOPHYLLINE PER 40 MG
J2820	SARGRAMOSTIM INJECTION
J2850	INJ SECRETIN SYNTHETIC HUMAN
J2910	AUROTHIOGLUCOSE INJECITON
J2916	NA FERRIC GLUCONATE COMPLEX
J2920	METHYLPREDNISOLONE INJECTION
J2930	METHYLPREDNISOLONE INJECTION
J2940	SOMATREM INJECTION
J2941	SOMATROPIN INJECTION
J2950	PROMAZINE HCL INJECTION
J2993	RETEPLASE INJECTION
J2995	INJ STREPTOKINASE /250000 IU
J2997	ALTEPLASE RECOMBINANT
J3000	STREPTOMYCIN INJECTION
J3010	FENTANYL CITRATE INJECITON
J3030	SUMATRIPTAN SUCCINATE / 6 MG
J3070	PENTAZOCINE INJECTION
J3101	Tenecteplase injection
J3105	TERBUTALINE SULFATE INJ
J3110	TERIPARATIDE INJECTION
J3120	TESTOSTERONE ENANTHATE INJ
J3130	TESTOSTERONE ENANTHATE INJ
J3140	TESTOSTERONE SUSPENSION INJ
J3150	TESTOSTERONE PROPIONATE INJ
J3230	CHLORPROMAZINE HCL INJECTION
J3240	THYROTROPIN INJECTION
J3243	TIGECYCLINE INJECTION
J3246	TIROFIBAN HCL
J3250	TRIMETHOBENZAMIDE HCL INJ
J3260	TOBRAMYCIN SULFATE INJECTION
J3265	INJECTION TORSEMIDE 10 MG/ML
J3280	THIETHYLPERAZINE MALEATE INJ
J3285	TREPROSTINIL INJECTION
J3300	Triamcinolone A inj PRS-free
J3301	Triamcinolone acet inj NOS
J3302	TRIAMCINOLONE DIACETATE INJ
J3303	TRIAMCINOLONE HEXACETONL INJ
J3305	INJ TRIMETREXATE GLUCORONATE
J3310	PERPHENAZINE INJECITON
J3315	TRIPTORELIN PAMOATE
J3320	SPECTINOMYCN DI-HCL INJ
J3350	UREA INJECTION
J3355	UROFOLLITROPIN, 75 IU
J3360	DIAZEPAM INJECTION
J3364	UROKINASE 5000 IU INJECTION
J3365	UROKINASE 250,000 IU INJ
J3370	VANCOMYCIN HCL INJECTION
J3396	VERTEPORFIN INJECTION
J3400	TRIFLUPROMAZINE HCL INJ
J3410	HYDROXYZINE HCL INJECTION
J3411	THIAMINE HCL 100 MG
J3415	PYRIDOXINE HCL 100 MG
J3420	VITAMIN B12 INJECTION
J3430	VITAMIN K PHYTONADIONE INJ
J3465	INJECTION, VORICONAZOLE
J3470	HYALURONIDASE INJECTION
J3471	OVINE, UP TO 999 USP UNITS
J3472	OVINE, 1000 USP UNITS
J3473	HYALURONIDASE RECOMBINANT
J3475	INJ MAGNESIUM SULFATE
J3480	INJ POTASSIUM CHLORIDE
J3485	ZIDOVUDINE
J3486	ZIPRASIDONE MESYLATE
J3487	ZOLEDRONIC ACID
J3488	RECLAST INJECTION
J3490	DRUGS UNCLASSIFIED INJECTION
J3520	EDETATE DISODIUM PER 150 MG
J3530	NASAL VACCINE INHALATION
J3535	METERED DOSE INHALER DRUG
J3570	LAETRILE AMYGDALIN VIT B17
J3590	UNCLASSIFIED BIOLOGICS

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Calculated for National Unadjusted (00000)

* Note: Medicare may or may NOT reimburse you for this code. The fees provided below are based on values established by CMS/Medicare. Please check with your local Medicare contact on whether this code is eligible for reimbursement.

Facility   (Hospital, etc.)

Medicare vs. My Fee Evaluation Modifier Medicare Allowed 150% 200% My Fee (none) $0.00 $0.00 $0.00 (your fee) Note:  Subscribers will see the calculated values below. Find-A-Code subscribers: Sign In to your account to see this information. Or Subscribe to Find-A-Code today for instant access to all the coding information you need. Medicare Participating - Assignment Accepted (Mandatory) Modifier Allowed Medicare 80% Patient Pays   (none) $##.## $##.## $##.##   Medicare Non-Participating - Assignment Accepted  (Check To Doctor) Modifier Allowed @ 95% Medicare 80% Reimbursement Patient Pays Limiting Charge (Amount Billed) (none) $##.## $##.## $##.## $##.## Medicare Non-Participating - Assignment NOT Accepted  (Check To Patient) Modifier Allowed @ 95% Medicare 80% Reimbursement Patient Pays Limiting Charge (Amount Billed) (none) $##.## $##.## $##.## $##.##

Non-Facility   (Office, etc.)

Medicare vs. My Fee Evaluation Modifier Medicare Allowed 150% 200% My Fee (none) $0.00 $0.00 $0.00 (your fee) Note:  Subscribers will see the calculated values below. Find-A-Code subscribers: Sign In to your account to see this information. Or Subscribe to Find-A-Code today for instant access to all the coding information you need. Medicare Participating - Assignment Accepted (Mandatory) Modifier Allowed Medicare 80% Patient Pays   (none) $##.## $##.## $##.##   Medicare Non-Participating - Assignment Accepted  (Check To Doctor) Modifier Allowed @ 95% Medicare 80% Reimbursement Patient Pays Limiting Charge (Amount Billed) (none) $##.## $##.## $##.## $##.## Medicare Non-Participating - Assignment NOT Accepted  (Check To Patient) Modifier Allowed @ 95% Medicare 80% Reimbursement Patient Pays Limiting Charge (Amount Billed) (none) $##.## $##.## $##.## $##.##

Calculated for National Unadjusted (00000)

* Note: Medicare may or may NOT reimburse you for this code. The fees provided below are based on values established by CMS/Medicare. Please check with your local Medicare contact on whether this code is eligible for reimbursement.

Facility 0  (Hospital, etc.)

RVU Components (by modifier) Modifier Work Practice Expense Malpractice Expense Total (none) 0 0 0 0  Practitioner Work Component: 0 Practitioner Labor Pre-Service Intra-Service Post-Service Total Time* ## ## ## ## min * Total Time may be greater than the displayed components.      Work RVU Components (by modifier) Modifier National Unadjusted Work RVU Work GPCI Adjusted Work RVU (none) ##.## ##.## 0  Practice Expense: 0 Clinical Labor - Direct Expense Staff Staff Rate Pre Time Intra Time Post Time Total Time* * Total Time may be greater than the displayed components.      Equipment - Direct Expense Item Purchase Price Expected Life Total Time Supplies - Direct Expense Item Unit Price Quantity Unit Amount Indirect Expenses (clerical,overhead, and other) are also included in the practice expense. PE RVU Components (by modifier) Modifier National Unadjusted PE RVU PE GPCI Adjusted PE RVU (none) ##.## ##.## 0  Malpractice Component: 0 MP RVU Components (by modifier) Modifier National Unadjusted MP RVU MP GPCI Adjusted MP RVU (none) ##.## ##.## 0

Non-Facility 0  (Office, etc.)

RVU Components (by modifier) Modifier Work Practice Expense Malpractice Expense Total (none) 0 0 0 0  Practitioner Work Component: 0 Practitioner Labor Pre-Service Intra-Service Post-Service Total Time* ## ## ## ## min * Total Time may be greater than the displayed components.      Work RVU Components (by modifier) Modifier National Unadjusted Work RVU Work GPCI Adjusted Work RVU (none) ##.## ##.## 0  Practice Expense: 0 Clinical Labor (Non-Facility) - Direct Expense Staff Staff Rate Pre Time Intra Time Post Time Total Time* * Total Time may be greater than the displayed components.      Equipment (Non-Facility) - Direct Expense Item Purchase Price Expected Life Total Time Supplies (Non-Facility) - Direct Expense Item Unit Price Quantity Unit Amount Indirect Expenses (clerical,overhead, and other) are also included in the practice expense. MP RVU Components (by modifier) Modifier National Unadjusted PE RVU PE GPCI Adjusted PE RVU (none) ##.## ##.## 0  Malpractice Component: 0 MP RVU Components (by modifier) Modifier National Unadjusted MP RVU MP GPCI Adjusted MP RVU (none) ##.## ##.## 0

(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/)