23.03.2013 Views

Name of Manual - Blue Cross and Blue Shield of Minnesota

Name of Manual - Blue Cross and Blue Shield of Minnesota

Name of Manual - Blue Cross and Blue Shield of Minnesota

SHOW MORE
SHOW LESS

You also want an ePaper? Increase the reach of your titles

YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.

<strong>Blue</strong> <strong>Cross</strong> <strong>Blue</strong> <strong>and</strong> <strong>Shield</strong> <strong>of</strong> <strong>Minnesota</strong> Provider Policy <strong>and</strong> Procedure <strong>Manual</strong> (07/12/12)<br />

Coding Policies <strong>and</strong> Guidelines (Coding)<br />

Level II HCPCS Level II HCPCS are developed <strong>and</strong> maintained by CMS. Level II<br />

consists <strong>of</strong> codes for supplies, materials, injections <strong>and</strong> services.<br />

Each Level II code is identified with a five character<br />

(alphanumeric) code.<br />

Level II codes are generally referred to simply as HCPCS codes to<br />

differentiate them from the Level I (CPT) codes. HCPCS codes are<br />

generally used because CPT has a limited code selection for these<br />

areas. All listings are in alpha category order except for modifiers.<br />

Format<br />

HCPCS codes are five characters in length, consisting <strong>of</strong> one alpha<br />

<strong>and</strong> four numeric characters. Level II codes start with alpha<br />

characters A through V <strong>and</strong> relate to these nationally defined<br />

categories:<br />

A0000-A0999........Transportation Services Including Ambulance<br />

A4000-A8999........Medical <strong>and</strong> Surgical Supplies<br />

A9000-A9999........Administrative, Miscellaneous <strong>and</strong><br />

Investigational<br />

B4000-B9999 ........Enteral <strong>and</strong> Parenteral Therapy<br />

C1000-C9999 ........Outpatient PPS<br />

D0000-D9999........Dental Procedures<br />

E0100-E9999 ........Durable Medical Equipment<br />

G0000-G9999........Procedures/Pr<strong>of</strong>essional Services (Temporary)<br />

(including Injections, Laboratory, Medical<br />

Services, Supplies)<br />

H0001-H2037........Alcohol <strong>and</strong> Drug Abuse Treatment Services<br />

(includes prenatal care codes)<br />

J0000-J9999 ..........Drugs Administered Other than Oral Method<br />

(J0000-J8499 – Other than Chemotherapy,<br />

J8500- J8999 – Oral Chemotherapy Drugs,<br />

J9000-J9999-Chemotherapy Drugs)<br />

K0000-K9999........Temporary Codes (for DMERCS including<br />

Durable Medical Equipment, Orthotics &<br />

Prosthetics, Supplies)<br />

L0000-L4999 ........Orthotics Procedures <strong>and</strong> Devices<br />

L5000-L9999 ........Prosthetic Procedures<br />

11-5

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!