HCPCS stands for Healthcare Common Procedure Coding System.
HCPCS is a standardized coding system used to report medical procedures, services, supplies, and equipment to Medicare and other health insurance payers. This system facilitates the processing of healthcare claims.
HCPCS is divided into two main levels:
- Level I: These are Current Procedural Terminology (CPT) codes, maintained by the American Medical Association (AMA). They primarily describe medical, surgical, and diagnostic procedures.
- Level II: These codes are maintained by the Centers for Medicare & Medicaid Services (CMS). They represent items and services not included in CPT codes, such as durable medical equipment (DME), prosthetics, orthotics, and supplies.
Understanding the acronym helps healthcare providers and billing professionals correctly use and interpret these codes, ensuring accurate claim submissions and reimbursement.
