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Viewing:  Oct 22, 2019

HCPCS Level II Codes (DME, Prosthetics, Orthotics, Supplies)

HCPCS Codes - Procedures, DMEs, Supplies (A0000-Z9999)

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.  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.

CPT® - Current Procedural Terminology® Medical Code Set (00000-99999)

The Current Procedural Terminology (CPT) code set is maintained by the American Medical Association through the CPT Editorial Panel.  The CPT code set accurately describes medical, surgical, and diagnostic services and is designed to communicate uniform information about medical services and procedures among physicians, coders, patients, accreditation organizations, and payers for administrative, financial, and analytical purposes. The current version is the CPT 2019.

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