Healthcare Common Procedural Coding System (HCPCS)
A Healthcare Common Procedural Coding System (HCPCS) is a Medical Procedural Classification System that is based on AMA's current procedural terminology and produced by the Centers for Medicare and Medicaid Services (CMS).
- AKA: HCFA Common Procedure Coding System.
- Context:
- Website: http://www.cms.gov/Medicare/Coding/MedHCPCSGenInfo/index.html
- It can range from being a HCPCS Level 1 to being a HCPCS Level 3.
- Example(s):
- Counter-Example(s):
- See: Medical Classification System, Health Care, Clinical Terminology Standard, American Medical Association.
References
2022a
- (Wikipedia, 2022) ⇒ https://en.wikipedia.org/wiki/Healthcare_Common_Procedure_Coding_System Retrieved:2022-3-13.
- The Healthcare Common Procedure Coding System (HCPCS, often pronounced by its acronym as "hick picks") is a set of health care procedure codes based on the American Medical Association's Current Procedural Terminology (CPT).
The acronym HCPCS originally stood for HCFA Common Procedure Coding System, a medical billing process used by the Centers for Medicare and Medicaid Services (CMS). Prior to 2001, CMS was known as the Health Care Financing Administration (HCFA). HCPCS was established in 1978 to provide a standardized coding system for describing the specific items and services provided in the delivery of health care. Such coding is necessary for Medicare, Medicaid, and other health insurance programs to ensure that insurance claims are processed in an orderly and consistent manner. Initially, use of the codes was voluntary, but with the implementation of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) use of the HCPCS for transactions involving health care information became mandatory.
- The Healthcare Common Procedure Coding System (HCPCS, often pronounced by its acronym as "hick picks") is a set of health care procedure codes based on the American Medical Association's Current Procedural Terminology (CPT).
2022b
- (NIH, 2022) ⇒ https://www.nlm.nih.gov/research/umls/sourcereleasedocs/current/HCPCS/index.html Retrieved:2022-3-13.
- QUOTE: The Healthcare Common Procedure Coding System (HCPCS) is produced by the Centers for Medicare and Medicaid Services (CMS).
Purpose
HCPCS is a collection of standardized codes that represent medical procedures, supplies, products and services. The codes are used to facilitate the processing of health insurance claims by Medicare and other insurers.
Description
HCPCS is divided into two subsystems, Level I and Level II.
Level I is comprised of Current Procedural Terminology codes (HCPT). HCPT codes consist of five numeric digits. For more information about HCPT, see the HCPT source synopsis.
Level II HCPCS codes identify products, supplies, and services not included in CPT. Level II codes consist of a letter followed by four numeric digits. Current Dental Terminology codes are included in the Level II codes as HCDT. For more information about HCDT, see the HCDT source synopsis.
- QUOTE: The Healthcare Common Procedure Coding System (HCPCS) is produced by the Centers for Medicare and Medicaid Services (CMS).
2022c
- (AMA, 2022) ⇒ https://www.ama-assn.org/practice-management/cpt/healthcare-common-procedure-coding-system-hcpcs Retrieved:2022-3-13.
- QUOTE: In addition to being the source for CPT and related medical coding products and services, the AMA provides current, authoritative information based on the Healthcare Common Procedure Coding System (HCPCS).
2020
- (Rivera et al., 2020) ⇒ Donna R. Rivera, Clara J. K. Lam, Lindsey Enewold, Valentina I. Petkov, Quyen Tran, Sean Brennan, Lois Dickie, Timothy S. McNeel, Annie M. Noone, Bradley Ohm, Dolly P. White, Joan L. Warren, Angela B. Mariotto, and Lynne Penberthy (2020). "Development and Utility of the Observational Research in Oncology Toolbox: Cancer Medications Enquiry Database-Healthcare Common Procedure Coding System (HCPCS)". In: JNCI Monographs, 2020(55): 39–45. DOI:10.1093/jncimonographs/lgz034.
- QUOTE: The CanMED-HCPCS includes codes for oncology medications that a) have a US Food and Drug Administration-approved indication for cancer treatment or treatment-related symptom management; b) are present in National Comprehensive Cancer Network guidelines; or c) carry an orphan drug designation for treatment or management of cancer. Included medications and their HCPCS codes were primarily identified based on Center for Medicare and Medicaid Services annual HCPCS Indices (2012–2018). To demonstrate the utility of the CanMED-HCPCS, use of systemic treatment for stage II–IV colorectal cancer patients included in the Surveillance, Epidemiology, and End Results-Medicare data (2007–2013) was assessed.