Healthcare Common Procedure Coding System Gender Restriction

$79 / year

The Healthcare Common Procedure Coding System age restriction dataset lists represented codes that TRICARE (formerly known as the Civilian Health and Medical Program of the Uniformed Services – CHAMPUS) recognizes with gender restrictions. The TRICARE contractors need to make sure their gender file matches what is on the list or it could result in TRICARE Encounter Data (TED) Records failure.

Complexity

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. HCPCS (often pronounced hickpicks) stands for the Healthcare Common Procedure Coding System. It was established in 1978 as a way to standardize identification of medical services, supplies and equipment. There are two sets of codes. This is a list of Procedure Codes that either have or had Age Restrictions as of July 2015. This list was implemented in this format as of October 1, 2007. All dates on or after September 30, 2007 are the dates when a Procedure Code either became restricted (Restriction Effective Date) or ceased being restricted (Restriction Termination Date).
All dates before September 30, 2007 are the dates when the restricted Procedure Code itself either became valid or was terminated.The first, or Level I, code set is a five-digit numeric code that contains the Physicians Current Procedural Terminology (CPT) maintained by the American Medical Association. The CPT is comprised of descriptive terms and identifying codes used primarily for billing for services provided by physicians and other healthcare professionals. The second code set, or Level II, is a code set for medical services not included in Level I, such as durable medical equipment, prosthetics, orthotics and supplies. These codes are alpha-numeric in that they begin with a single letter, such as an E or K in the case of durable medical equipment, followed by four numbers..

Date Created

2015-07-1

Last Modified

2018-01-01

Version

2018-01-01

Update Frequency

Quarterly

Temporal Coverage

N/A

Spatial Coverage

United States

Source

John Snow Labs => Military Health System and the Defence Health Agency

Source License URL

John Snow Labs Standard License

Source License Requirements

N/A

Source Citation

N/A

Keywords

HCPCS, HCPCS CPT, HCPCS Coding, HCPCS Coding System, HCPCS Age Restrictions, Healthcare Common Procedure Coding System, Hickpicks

Other Titles

HCPCS Codes Lists with Gender and Age Restrictions, HCPCS Current Procedural Terminology, Healthcare Common Procedure Coding System Codes List with Age and Gender Restrictions 2016, Age and Gender Restrictions Codes List, Calendar Year 2016, HCPCS

Name Description Type Constraints
Procedure_Code5 digit code that contains the Physicians Current Procedural Terminologystringrequired : 1 maxLength : 5
GenderMale or Female.stringrequired : 1
Restriction_Effective_DateThe dates when the procedure code became restricted.date-
Restriction_Termination_DateThe dates when the procedure code ceased being restricted.date-
Procedure_CodeGenderRestriction_Effective_DateRestriction_Termination_Date
54130Male
54135Male
54230Male
54332Male
54336Male
54390Male
54430Male
55300Male
55801Male
55810Male