click below
click below
Normal Size Small Size show me how
2026 CBCS EXAM PREP
2026 HCPCS QUESTIONS
| Question | Answer |
|---|---|
| HCPCS was created in... | 1978 by CMS, formerly known as Health Care Financing Administration (HCFA) to establish a coding system for billing health care services, procedures, equipment, and supplies |
| HCPCS originally encompassed three code set levels: | Level I - CPT codes Level II - HCPCS codes Level III - Local codes |
| HCPCS Level I - CPT codes | -used for reporting medical services and surgical procedures performed by providers -developed and maintained by the AMA |
| HCPCS Level II - HCPCS codes | -used for reporting durable goods and services -developed and maintained by CMS |
| HCPCS Level III - Local codes | -created to identify services for which there is no level I or II HCPCS code -developed and used by Medicaid agencies, Medicare contractors, and private insurers in their specific programs or local areas -eventually eliminated by CMS and no longer in use |
| Who maintains the HCPCS codes? | Centers for Medicare and Medicaid |
| What does HCPCS stand for? A. Health Care Procedure Coding System B. Healthcare Common Procedure Coding System C. Hospital Coding Procedure Classification System D. Health Coding Process Classification System | B. Healthcare Common Procedure Coding System |
| What is HCPCS Level I? A. ICD-10-CM B. HCPCS national codes C. CPT codes D. Revenue codes | C. CPT codes |
| HCPCS Level II codes begin with: A. Numbers only B. Letters only C. A letter followed by numbers D. Roman numerals | C. A letter followed by numbers |
| Which code system is used for supplies, equipment, and ambulance services? A. ICD-10-CM B. CPT C. HCPCS Level II D. CDT | C. HCPCS Level II |
| Which of the following would MOST likely use an HCPCS Level II code? A. Office visit B. Wheelchair C. Physical exam D. Appendectomy | B. Wheelchair |
| Which organization maintains HCPCS Level II codes? A. AMA B. CDC C. CMS D. OSHA | C. CMS |
| Which modifier indicates the LEFT side of the body? A. RT B. LT C. TC D. 50 | B. LT |
| Which modifier means bilateral procedure? A. 25 B. 59 C. 50 D. 91 | C. 50 |
| What does Modifier TC indicate? A. Technical component B. Telemedicine component C. Total component D. Treatment completed | A. Technical component |
| What does Modifier 26 indicate? A. Bilateral procedure B. Repeat procedure C. Professional component D. Reduced services | C. Professional component |
| Which HCPCS code type commonly represents medications? A. J codes B. E codes C. A codes D. K codes | A. J codes |
| Which HCPCS code range is commonly used for durable medical equipment (DME)? A. E codes B. J codes C. G codes D. L codes | A. E codes |
| HCPCS Level II codes are primarily used for: A. Diagnoses only B. Procedures only C. Nonphysician services and supplies D. Surgical pathology only | C. Nonphysician services and supplies |
| Which code set is used for physician procedures and services? A. ICD-10-CM B. HCPCS Level I (CPT) C. DRG D. CDT | B. HCPCS Level I (CPT) |
| Which HCPCS code(s) are not paid by Medicare? A. A HCPCS codes B. S HCPCS codes C. T HCPCS codes D. Answer B and C | D. Answer B and C |