Certified Medical Coding Specialist HCPCS Level II Coding 1 — Questions and Answers
Question 1: What does the acronym HCPCS stand for?
- Healthcare Common Procedure Coding System (Correct answer)
- Health Care Procedure Classification System
- Hospital Common Procedural Coding Standard
- Healthcare Coding and Payment Classification System
Correct answer: Healthcare Common Procedure Coding System
HCPCS stands for Healthcare Common Procedure Coding System, the standardized system used for Medicare and Medicaid billing.
Question 2: What is the correct format for a HCPCS Level II code?
- Three letters followed by two numbers
- One letter followed by four numbers (Correct answer)
- Two letters followed by three numbers
- One number followed by four letters
Correct answer: One letter followed by four numbers
HCPCS Level II codes consist of one letter (A–V) followed by four numbers, such as E0601 for a CPAP device.
Question 3: Which HCPCS Level II code section covers Durable Medical Equipment (DME)?
- A codes
- E codes (Correct answer)
- L codes
- K codes
Correct answer: E codes
E codes (E0100–E9999) cover Durable Medical Equipment such as wheelchairs, hospital beds, and walkers.
Question 4: Which organization is responsible for maintaining and updating HCPCS Level II codes?
- American Medical Association (AMA)
- American Health Information Management Association (AHIMA)
- Centers for Medicare & Medicaid Services (CMS) (Correct answer)
- American Academy of Professional Coders (AAPC)
Correct answer: Centers for Medicare & Medicaid Services (CMS)
CMS (Centers for Medicare & Medicaid Services) is responsible for maintaining and updating HCPCS Level II codes.
Question 5: Which HCPCS Level II code section covers drugs administered other than by oral method?
- D codes
- G codes
- J codes (Correct answer)
- P codes
Correct answer: J codes
J codes cover drugs administered other than by oral method, including injectable medications and chemotherapy agents.
Question 6: HCPCS Level II modifiers consist of how many characters?
- One character
- Two characters (Correct answer)
- Three characters
- Four characters
Correct answer: Two characters
HCPCS Level II modifiers consist of two alphanumeric characters, such as LT, RT, KX, or GA.
Question 7: Which HCPCS Level II code section covers enteral and parenteral nutrition therapy?
- A codes
- B codes (Correct answer)
- E codes
- S codes
Correct answer: B codes
B codes cover enteral and parenteral nutrition therapy supplies and equipment, including feeding pumps and nutritional formulas.
Certified Medical Coding Specialist HCPCS Level II Coding 1
What does the acronym HCPCS stand for?