CPC HCPCS Level II Coding 2 — Questions and Answers
Question 1: Which HCPCS Level II code range is used for enteral and parenteral nutrition supplies?
- A4000-A4999
- B4000-B9999 (Correct answer)
- E0100-E9999
- S4000-S9999
Correct answer: B4000-B9999
The B4000-B9999 range covers enteral and parenteral nutrition supplies and equipment.
Question 2: A patient receives a chemotherapy drug administered intravenously at a physician office. Which HCPCS Level II code set typically covers the drug itself?
- A-codes
- J-codes (Correct answer)
- Q-codes
- S-codes
Correct answer: J-codes
J-codes (J0000-J9999) are used for drugs administered other than oral method, including chemotherapy agents.
Question 3: What is the purpose of a 'KX' modifier in HCPCS Level II?
- Indicates item is medically unnecessary
- Indicates requirements specified in the medical policy have been met (Correct answer)
- Denotes a replacement item
- Identifies a rental item
Correct answer: Indicates requirements specified in the medical policy have been met
The KX modifier affirms that the coverage criteria and documentation requirements specified in the LCD or NCD have been met.
Question 4: Which HCPCS Level II code range covers orthotics?
- E0100-E9999
- L0000-L4999 (Correct answer)
- K0000-K9999
- A6000-A6999
Correct answer: L0000-L4999
L0000-L4999 covers orthotic procedures and devices, while L5000+ covers prosthetics.
Question 5: A beneficiary requires a power wheelchair. Which HCPCS Level II code range would apply?
- A9000-A9999
- E1130-E1298
- K0800-K0899 (Correct answer)
- L7000-L7499
Correct answer: K0800-K0899
K0800-K0899 represents power wheelchairs including Group 1, 2, 3, and 4 complex rehab power chairs.
Question 6: Which modifier is used when a HCPCS service was performed by a clinical social worker?
- AH (Correct answer)
- AJ
- AK
- AL
Correct answer: AH
Modifier AH identifies services rendered by a clinical psychologist, while AJ is used for clinical social worker services — AJ is correct, but AH is the distractor commonly tested.
Question 7: What does the HCPCS Level II G-code range primarily represent?
- Durable medical equipment
- Temporary procedures and professional services (Correct answer)
- Dental procedures
- Vision services
Correct answer: Temporary procedures and professional services
G-codes (G0000-G9999) are temporary codes used for procedures and professional services not classified elsewhere.
CPC HCPCS Level II Coding 2
Which HCPCS Level II code range is used for enteral and parenteral nutrition supplies?