What is HCPCS used for in billing?

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What is HCPCS used for in billing?

HCPCS codes are used in billing to describe items and services not covered by CPT. There are two levels: Level I CPT codes cover physician services and many procedures, while Level II HCPCS codes cover products, supplies, and non-physician services—things like durable medical equipment, prosthetics, home care supplies, ambulance services, and certain drugs—that CPT doesn’t cover. ICD-10 codes classify the patient’s diagnoses, not the specific billable items or services. The National Drug Code identifies a drug product, not a billing code for the service or item, though some drugs are billed with HCPCS drug codes; HCPCS provides a broader system beyond just drug identifiers. So HCPCS is the coding system used for products, supplies, and non-physician services not covered by CPT.

HCPCS codes are used in billing to describe items and services not covered by CPT. There are two levels: Level I CPT codes cover physician services and many procedures, while Level II HCPCS codes cover products, supplies, and non-physician services—things like durable medical equipment, prosthetics, home care supplies, ambulance services, and certain drugs—that CPT doesn’t cover. ICD-10 codes classify the patient’s diagnoses, not the specific billable items or services. The National Drug Code identifies a drug product, not a billing code for the service or item, though some drugs are billed with HCPCS drug codes; HCPCS provides a broader system beyond just drug identifiers. So HCPCS is the coding system used for products, supplies, and non-physician services not covered by CPT.

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