Organized for quick and accurate coding, HCPCS Level II Professional 2024 Edition codebook includes the most current Healthcare Common Procedure Coding System (HCPCS) codes and regulations, which are essential references needed for accurate medical billing and maximum permissible reimbursement.
This professional edition includes such features as Netter’s anatomical illustrations, dental codes, and ambulatory surgical center (ASC) payment and status indicators.
FEATURES AND BENEFITS Full-color Netter’s anatomical illustrations clarify complex anatomic information and how it affects coding. At-a-glance code listings and distinctive symbols identify all new, revised, reinstated, and deleted codes
for 2024. The American Hospital Association Coding Clinic®for HCPCS citations provide sources for information
about specific codes and their usage. Convenient spiral binding provides easy access in practice settings. Quantity feature indicates maximum allowable units of service per patient, per day, for physician and hospital outpatient per medically unlikely edits (MUEs) for enhanced accuracy on claims. Drug code annotations identify brand-name drugs as well as drugs that appear on the National Drug Class
(NDC) directory and other Food and Drug Administration (FDA) approved drugs. Color-codedTable of Drugs makes it easier to find specific drug information. Durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) indicators clearly identify supplies to report to durable medical third-party payers. Ambulatory Surgery Center (ASC) payment and status indicators show which codes are payable in the Hospital Outpatient Prospective Payment System. American Dental Association (ADA) Current Dental Terminology code sets offer access to all dental
codes in one place. Jurisdiction symbols show the appropriate contractor to be billed for suppliers submitting claims to Medicare contractors, Part B carriers and Medicare administrative contractors for DMEPOS services. Special coverage information provides alerts when codes have specific coverage instructions, are not valid
or covered by Medicare or may be paid at the carrier’s discretion. Age/Sex edits identify codes for use only with patients of a specific age or sex.
Publisher : Amer Medical Assn; Professional edition (January 10, 2024)
Language : English
Spiral-bound : 465 pages
ISBN-10 : 1640162941
ISBN-13 : 978-1640162945
Item Weight : 2.25 pounds
Dimensions : 8.75 x 1 x 10.5 inches
1. Question: What is HCPCS Level II and how does it differ from other code sets?
Answer: HCPCS Level II is a standardized coding system used for billing Medicare and Medicaid claims for durable medical equipment, prosthetics, orthotics, supplies, and other healthcare services not covered by CPT codes. It differs from other code sets like CPT codes, which are used for physician services, in that HCPCS Level II codes are used specifically for products and services.
2. Question: How can HCPCS Level II codes help me as a healthcare provider or supplier?
Answer: HCPCS Level II codes help healthcare providers and suppliers accurately document the products and services they provide, which is essential for billing Medicare and Medicaid claims. These codes also help ensure proper reimbursement for the services rendered.
3. Question: Are there any updates or changes to HCPCS Level II codes that I should be aware of?
Answer: Yes, HCPCS Level II codes are updated regularly by the Centers for Medicare and Medicaid Services (CMS) to reflect changes in healthcare technology, procedures, and services. It is important to stay current with these updates to ensure accurate billing and reimbursement.
4. Question: Are there any resources available to help me navigate and understand HCPCS Level II codes?
Answer: Yes, there are various resources available to help healthcare providers and suppliers navigate and understand HCPCS Level II codes, including the official CMS HCPCS Level II Code Set, online coding resources, and training programs.
5. Question: Can I use HCPCS Level II codes for billing services to private insurance companies?
Answer: While HCPCS Level II codes are primarily used for billing Medicare and Medicaid claims, some private insurance companies also accept these codes for reimbursement. It is important to check with each individual insurance company to determine their specific coding requirements.
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