Healthcare Common Procedure Coding System (Hcpcs)

The Healthcare Common Procedure Coding System is a set of health care procedure codes based on the American Medical Association's Current Procedural Terminology (CPT).HCPCS are codes based on the CPT to provide standardized coding when healthcare is delivered.Healthcare Common Procedure Coding System (HCPCS) is a standardized code system necessary for medical providers to submit healthcare claims to Medicare and other health insurances in a consistent and orderly manner. HCPCS comprises two medical code sets, HCPCS Level I and HCPCS Level II.

Examples of a HCPSC codes

A-codes (example: A0021): Transportation, Medical & Surgical Supplies, Miscellaneous & Experimental.
B-codes (example: B4034): Enteral and Parenteral Therapy.
C-codes (example: C1300): Temporary Hospital Outpatient Prospective Payment System.
D-codes: Dental Procedures.

Coders today use HCPCS codes to represent medical procedures to Medicare, Medicaid, and several other third-party payers. The code set is divided into three levels. Level one is identical to CPT, though technically those codes, when used to bill Medicare or Medicaid, are HCPCS codes.There are two organizations that issue HCPCS codes: The Centers for Medicare & Medicaid Services (CMS), located in Baltimore, Maryland, is the agency that issues new HCPCS codes. CMS uses a HCPCS Workgroup to make its decisions on new codes.

 Hcpcs modifier

HCPCS Modifiers List. A modifier provides the means by which the reporting physician or provider can indicate that a service or procedure that has been performed has been altered by some specific circumstance but not changed in its definition or code.HCPCS code for your product is essential to a successful reimbursement strategy. It enables clinicians , manufacturers, and payers to identify with specificity, for billing and claims processing purposes, the product that was furnished to a patient.