HS225 Medical coding i Seminar 5

Unit 5 HCPCS Healthcare Common Procedure Coding System Level I codes are CPT codes (for procedures) Level II codes are HCPCS codes (for durable medical equipment, ambulance transportation, insulin, etc.---things not covered by CPT codes)

Unit 5 HCPCS codes were created in the 1980s Codes are five characters in length Begin with alpha A-V followed by four numbers When people refer to HCPCS codes, they are most likely referring to the level II codes

Unit 5 HCPCS level II codes are organized according to the type depending on the purpose of the codes and the entity responsible for establishing and maintaining them. The five types are: Permanent national codes Dental codes Miscellaneous codes Temporary codes Modifiers

Unit 5 HCPCS modifiers Attached to any HCPCS level I (CPT) or level II (HCPCS) code to provide additional information regarding the product or service reported Adds another level of detail to an item or service

Unit 5 A patient was supplied with an air pressure mattress. Report the HCPCS code: E0181 E0184 E0185 E0186

Unit 5 A patient was supplied with an air pressure mattress. Report the HCPCS code: E0181 E0184 E0185 E0186

Unit 5 Magnetic resonance imaging without contrast followed by with contrast, left breast. C8903-LT C8904-LT C8905-LT C8908-LT

Unit 5 Magnetic resonance imaging without contrast followed by with contrast, left breast. C8903-LT C8904-LT C8905-LT C8908-LT

Unit 5 A patient received an injection of hydrocortisone acetate, 15mg, for contact dermatitis. J1700 J1700, J1700 J1720 J1720, J1720

Unit 5 A patient received an injection of hydrocortisone acetate, 15mg, for contact dermatitis. J1700 J1700, J1700 J1720 J1720, J1720

Unit 5 A patient required catheterization for the collection of a specimen. A4300 A4305 P9612 P9615

Unit 5 A patient required catheterization for the collection of a specimen. A4300 A4305 P9612 P9615

Unit 5 A patient received 2 mg leuprolide acetate for treatment of prostate cancer. J1950 J9217 J9218, J9218 J9219

Unit 5 A patient received 2 mg leuprolide acetate for treatment of prostate cancer. J1950 J9217 J9218, J9218 J9219

Unit 5 A patient in a drug and alcohol rehabilitation hospital received an injection of methadone by the treating physician H0020 H0029 H0033 J1230

Unit 5 A patient in a drug and alcohol rehabilitation hospital received an injection of methadone by the treating physician H0020 H0029 H0033 J1230

Unit 5 An 8 year-old boy is fitted with a long-arm cast. Service is performed in part by a resident under the direction of a teaching physician. Q4007 Q4007-GC Q4008-GC Q40010

Unit 5 An 8 year-old boy is fitted with a long-arm cast. Service is performed in part by a resident under the direction of a teaching physician. Q4007 Q4007-GC Q4008-GC Q40010

Unit 5 The patient’s family received 30 minutes of family training and counseling, which was provided for the purpose of child development. T1025 T1026 T1027 T1027, T1027

Unit 5 The patient’s family received 30 minutes of family training and counseling, which was provided for the purpose of child development. T1025 T1026 T1027 T1027, T1027

Unit 5 A patient received a hand-held low vision aid. V2020 V2510

Unit 5 V2600 A patient received a hand-held low vision aid. V2020

Unit 5 Modifiers

What is the HCPCS modifier AH? Unit 5 What is the HCPCS modifier AH?

What is the HCPCS modifier AH? Clinical psychologist Unit 5 What is the HCPCS modifier AH? Clinical psychologist

Unit 5 What is the HCPCS modifier TA?

Unit 5 What is the HCPCS modifier TA? Left foot, great toe

Unit 5 What is the HCPCS modifier SB?

Unit 5 What is the HCPCS modifier SB? Nurse midwife

Unit 5 What is the HCPCS modifier E4?

Unit 5 What is the HCPCS modifier E4? Lower right eyelid

Unit 5 What is the HCPCS modifier FA?

Unit 5 What is the HCPCS modifier FA? Left hand, thumb

Unit 5 What is the HCPCS modifier NU?

Unit 5 What is the HCPCS modifier NU? New equipment

Unit 5 What is the HCPCS modifier RC?

Unit 5 What is the HCPCS modifier RC? Right coronary artery

Unit 5 What is the HCPCS modifier TC?

Unit 5 What is the HCPCS modifier TC? Technical component

Unit 5 What is the HCPCS modifier TD?

Unit 5 What is the HCPCS modifier TD? Registered nurse

Unit 5 What is the HCPCS modifier UQ?

Unit 5 What is the HCPCS modifier UQ? Four patients served

Unit 5 Drugs are listed in the HCPCS Table of Drugs according to: Dosage to be used Generic or chemical name Route of administration Trade or brand name

Unit 5 Drugs are listed in the HCPCS Table of Drugs according to: Dosage to be used Generic or chemical name Route of administration Trade or brand name

Unit 5 Mr. William Hansberry attended a local clinic’s administration of influenza vaccine at a local shopping mall. Mr. Hansberry asks that the clinic bill Medicare for the shot. G0001 G0008 G0009 G0010

Unit 5 Mr. William Hansberry attended a local clinic’s administration of influenza vaccine at a local shopping mall. Mr. Hansberry asks that the clinic bill Medicare for the shot. G0001 G0008 G0009 G0010

Unit 5 Michael Lincoln presents to the dental clinic for a fluoride treatment. Michael has several cavities, and he is only 7 years of age. D1110 D1120 D1203 D1206

Unit 5 Michael Lincoln presents to the dental clinic for a fluoride treatment. Michael has several cavities, and he is only 7 years of age. D1110 D1120 D1203 D1206

Unit 5 A 75 year old terminal lung cancer patient is admitted to hospice care for general inpatient care T2042 T2043 T2044 T2045

Unit 5 A 75 year old terminal lung cancer patient is admitted to hospice care for general inpatient care T2042 T2043 T2044 T2045

Unit 5 Injection of Depo-Provera, 50 milligrams J1051 J1055 J1056

Unit 5 J1051 Injection of Depo-Provera, 50 milligrams J1055 J1056

Unit 5 Questions???