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HCPCS Level II Coding Flashcards

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  1. Which HCPCS Level II modifier indicates that a procedure or service was performed on the left side of the body?

    Answer: LT

    Modifier LT (Left Side) is appended to a procedure code to indicate that the service was performed on the left side of the body.

  2. HCPCS Level II 'G codes' are classified as which type of codes?

    Answer: Temporary Medicare codes for procedures and services not covered by existing CPT codes

    G codes are temporary Medicare codes established by CMS to identify professional services and procedures for which no CPT code yet exists, often used for quality reporting and preventive services.

  3. When billing for home infusion therapy, a biller would typically use which combination of HCPCS Level II codes?

    Answer: Both J codes for the infused drug and A codes for the supplies

    Home infusion therapy claims typically require J codes to identify the drug being infused and A codes to report the medical and surgical supplies used during the infusion.

  4. HCPCS Level II 'T codes' are primarily used by which payer type?

    Answer: State Medicaid programs

    T codes are temporary codes established for use by state Medicaid programs to report services that are not described by other national HCPCS codes.

  5. Which HCPCS modifier should be appended to indicate the professional component of a diagnostic radiology service?

    Answer: 26

    Modifier 26 identifies the professional component of a diagnostic service, representing the physician's interpretation and report, while modifier TC identifies the technical component.

  6. What do HCPCS Level II 'K codes' represent?

    Answer: Temporary codes used by DME Medicare Administrative Contractors (DME MACs) for items not yet classified

    K codes are temporary codes established by CMS for use specifically by Durable Medical Equipment Medicare Administrative Contractors (DME MACs) to report items that don't yet have a permanent classification.

  7. Which specific HCPCS Level II J code range is designated for chemotherapy drugs?

    Answer: J9000–J9999

    HCPCS Level II codes J9000–J9999 are specifically designated for chemotherapy drugs used in cancer treatment, distinguishing them from other injectable medications in the J code series.