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J-codes (example: J0120): Drugs Administered Other Than Oral Method, Chemotherapy Drugs; K-codes (example: K0001): Temporary Codes for Durable Medical Equipment Regional Carriers; L-codes (example: L0112): Orthotic/Prosthetic Procedures; M-codes (example: M0064): Medical Services; P-codes (example: P2028): Pathology and Laboratory
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).
The ICD-10 Procedure Coding System (ICD-10-PCS) is a US system of medical classification used for procedural coding.The Centers for Medicare and Medicaid Services, the agency responsible for maintaining the inpatient procedure code set in the U.S., contracted with 3M Health Information Systems in 1995 to design and then develop a procedure classification system to replace Volume 3 of ICD-9-CM.
However the coded data is often used for other purposes too; including reimbursement practices such as medical billing. ICD has a hierarchical structure, and coding in this context, is the term applied when representations are assigned to the words they represent. [30]
Four "Specialty MAC Jurisdictions" were also created to handle durable medical equipment and home health/hospice claims: Jurisdiction A—consists of all states in Jurisdictions 12, 13, and 14; Jurisdiction B—consists of all states in Jurisdictions 6, 8, and 15
Procedure codes are a sub-type of medical classification used to identify specific surgical, medical, or diagnostic interventions. The structure of the codes will ...
ABC Codes are five-digit alpha codes (e.g., AAAAA) used by licensed and non-licensed healthcare practitioners to supplement medical codes (e.g. CPT and HCPCS II) on standard electronic (e.g. American National Standards Institute, Accredited Standards Committee X12 N 837P healthcare claims and on standard paper claims (e.g., CMS 1500 Form) to describe services, remedies and/or supply items ...
Physician's News Digest article on Certificates of Medical Necessity; Statutory definition of a CMN at the SSA website; Medicare manual that provides exhaustive information about the practical use of CMNs, particularly section 5.3. This is the official source of information for contractors administering the Medicare system about the use of CMNs.