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Discuss the differences between Level I and Level II HCPCS codes. What are some types of...

Discuss the differences between Level I and Level II HCPCS codes. What are some types of items and services that each coding system is used for? Provide specific examples of codes from each coding system.

Solutions

Expert Solution

Level I HCPCS code

  • Consist of current procedural terminology (CPT)
  • Usd to submit medical claims to payers for the services provided by physician , hospitals, labs.
  • Maintained by AMA

Level II HCPCS code.

  • Alphanumeric code set mainly includes non - physician products, procedures and supplys not involved in CPT.
  • Maintained by CMS

​SERVICES PROVIDED BY HCPCS LEVEL I

  • Codes used for the services and procedures provided by physicians and other allied health care providers

SERVICES PROVIDED BY HCPCS level II

  • Code used for drugs, supplies, non physician services and services not included in CPT

Example of HCPCS level I

CPT Codes similar to ICD -9 and ICD- 10

Example of HCPCS level II

  • J9355- injection
  • V2599- contact lens

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