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A comprehensive list of hcpcs codes, categorized by their respective areas of application, along with corresponding correct answers. It serves as a valuable resource for students and professionals seeking to understand and apply hcpcs codes in healthcare settings. A wide range of codes, including those related to transportation services, medical supplies, administrative procedures, enteral and parenteral therapy, outpatient procedures, durable medical equipment, professional services, alcohol and drug abuse treatment, chemotherapy drugs, orthotic procedures, prosthetic procedures, medical services, pathology and laboratory services, temporary codes, diagnostic radiology services, vision services, and hearing services.
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transportation services (including ambulance) Correct Answer: A0021-A medical & surgical supplies Correct Answer: A4206-A administrative, misc & investigational Correct Answer: A9150-A enteral & parenteral therapy Correct Answer: B43034-B outpatiant pps Correct Answer: C1713-C DME (durable medical equipment) Correct Answer: E0100-E
procedures/professional services Correct Answer: G0008-G alcohol & drug abuse treatment Correct Answer: H0001-H drugs administered other than oral method Correct Answer: J0120-J chemotherapy drugs Correct Answer: J9000-J dme macs (durable medical equipment Medicare administrative contractors) Correct Answer: K0001-K orthotic procedures & services Correct Answer: L0112-L prosthetic procedures Correct Answer: L5000-L medical services
Correct Answer: dressing for 1 wound A Correct Answer: dressing for 2 wounds A Correct Answer: dressing for 3 wounds A Correct Answer: dressing for 4 wounds A Correct Answer: dressing for 5 wounds A Correct Answer: dressing for 6 wounds A Correct Answer: dressing for 7 wounds A Correct Answer: dressing for 8 wounds
Correct Answer: dressing for 9 wounds AA Correct Answer: anesthesia services performed personally by anesthesiologist AD Correct Answer: medical supervision by a physician; more than 4 concurrent anesthesia procedures AE Correct Answer: registered dietician AF Correct Answer: specialty physician AG Correct Answer: primary physician AH Correct Answer: clinical psychologist
Correct Answer: physician provider services in a physician scarcity area AS Correct Answer: physician assistant, nurse practitioner, or clinical nurse specialist services for assistant at surgery AT Correct Answer: acute treatment (in conj. w/ 98940-42) AU Correct Answer: item furnished in conj. w/ a urological, ostomy, or tracheostomy supply AV Correct Answer: item furnished in conj. w/ a prosthetic device, prosthetic or orthotic AW Correct Answer: item furnished in conj. w/ a surgical dressing AX Correct Answer: item furnished in conj. w/ dialysis services
Correct Answer: item or service furnished to an ESRD pt that is not for the treatment of ESRD AZ Correct Answer: physician providing a service in a dental health professional shortage area for the purpose of an electronic health record incentive payment BA Correct Answer: item furnished in conj. w/ parenteral enteral nutrition (PEN) BL Correct Answer: special acquisition of blood & blood products BO Correct Answer: orally administered nutrition, not by feeding tube BP Correct Answer: the beneficiary has been informed of the purchase & rental options & has elected to purchase the item BR
Correct Answer: AMCC test has been ordered by an ESRD facility or mcp physician that is a composite rate test but is beyond the normal frequency covered under the rate & is separately reimbursable based on medical necessity CF Correct Answer: AMCC test has been ordered by an ESRD facility or mcp physician that is not part of the composite rate & is separately billable CG Correct Answer: policy criteria applied CH Correct Answer: 0 % impaired, limited or restricted CI Correct Answer: at least 1% but less than 20% impaired, limited or restricted CJ Correct Answer: at least 20% but less than 40% impaired, limited or restricted CK
Correct Answer: at least 40% but less than 60% impaired, limited or restricted CL Correct Answer: at least 60% but less than 80% impaired, limited or restricted CM Correct Answer: at least 80% but less than 100% impaired, limited or restricted CN Correct Answer: 100% impaired, limited or restricted CP Correct Answer: adjunctive service related to a procedure assigned to a comprehensive ambulatory payment classification (C-APC) procedure, but reported on a different claim CR Correct Answer: catastrophe/disaster related CS Correct Answer: item or service related, in whole or in part, to an illness, injury, or condition that was caused by or exacerbated by the effects, direct or indirect, of the
Correct Answer: erythropoetic stimulation agent (ESA) administered to treat anemia due to anti-cancer chemotherapy EB Correct Answer: erythropoetic stimulating agent (ESA) administered to treat anemia due to anti-cancer radiotherapy EC Correct Answer: erythropoetic stimulating agent (ESA) administered to treat anemia not due to anti-cancer radiotherapy or anti-cancer chemotherapy ED Correct Answer: hematocrit level hass exceeded 39% (or hemoglobin level has exceeded 13.0 G/dl) for 3 or more consecutive billing cycles immediately prior to & including the current cycle EE Correct Answer: hematocrit level has not exceeded 39% (or hemoglobin level has not exceeded 13.0 G/dl) for 3 or more consecutive billing cycles immediately prior to & including the current cycle
Correct Answer: subsequent claims for a defined course of therapy, e.g: epo, sodium hyaluronate, infliximab