The following is information about CMS (HCPCS) codes:
•CMS (HCPCS) provides codes for both physician and nonphysician services that are not contained in CPT (such as ambulance, durable medical equipment (DME), prostheses, and some medical codes).
•Updating of HCPCS codes is the responsibility of the CMS Maintenance Task Force.
•The codes are all alphanumeric, consisting of a single alpha character (A-V) followed by four numeric digits.
The single alpha character signifies the following:
Character
Description
A
Supplies, ambulance, chiropractic
B
Enteral and parenteral therapy
D
Dental
E
DME and oxygen
H
Rehabilitation services
J
Drugs (administered other than orally)
K
ICD-9-CM surgery (informational only)
L
Orthotic and prosthetic procedures
M
Medical
P
Laboratory
Q
Temporary procedures
R
Radiology
T
Diapers
V
Vision and hearing services (nonphysician); speech/language pathology services (nonphysician)
HCPCS codes are used by all the CSHCN Services Program providers to identify the procedures they perform.
Exception: Inpatient facility charges submitted on a UB-04 CMS-1450 claim form must be billed using revenue codes.
Texas Medicaid & Healthcare Partnership CPT only copyright 2008 American Medical Association. All rights reserved.
CMS (HCPCS) provides codes for both physician and nonphysician services that are not contained in CPT (such as ambulance, durable medical equipment (DME), prostheses, and some medical codes).