Others titles
- Alpha Numeric HCPCS File
- Procedure Codes and Modifiers
Keywords
- Billing Code
- HCPCS Code
- Common Procedure Coding System
- CPT Codes
- Alphanumeric HCPCS Procedure and Modifier Codes
- HCPCS Procedure Codes
- HCPCS Modifier Codes
- Durable Medical Equipment
- Medicare Coverage and Payment Policies
List of CPT and HCPCS Codes
This dataset shows List of Current Procedural Terminology (CPT)/Healthcare Common Procedure Coding System (HCPCS) Codes (the Code List), which identifies all the items and services included within certain DHS categories or that may qualify for certain exceptions.
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Description
The CPT/HCPCS Code List are updated to conform to the most recent publications of CPT (Current Procedural Terminology) and HCPCS (Healthcare Common Procedure Coding System) codes and to account for changes in Medicare coverage and payment policies. Code List updates for years 2022 and earlier were published in the Federal Register as an addendum to the annual Physician Fee Schedule final rule.
No less than 30 consecutive calendar days prior to the effective date of a Code List update, it will be provided advance notice of the updated Code List. The DHS categories defined by the Code List are:
– clinical laboratory services;
– physical therapy services, occupational therapy services, outpatient speech-language pathology services;
– radiology and certain other imaging services; and
– radiation therapy services and supplies.
NOTE: The following DHS categories are defined at 42 CFR §411.351 without reference to the Code List:
– urable medical equipment and supplies;
– parenteral and enteral nutrients, equipment and supplies;
– prosthetics, orthotics, and prosthetic devices and supplies;
– home health services;
– outpatient prescription drugs; and
– inpatient and outpatient hospital services.
– The exceptions that are defined by the Code List are:
EPO and other dialysis-related drugs (42 CFR § 411.355(g))
Preventive screening tests and vaccines (42 CFR § 411.355(h))
This dataset does not include codes for the following designated health service (DHS) categories:
– durable medical equipment and supplies;
– parenteral and enteral nutrients, equipment and supplies;
– prosthetics, orthotics, and prosthetic devices and supplies;
– home health services;
– outpatient prescription drugs;
– and inpatient and outpatient hospital services.
About this Dataset
Data Info
Date Created | 2012-01-01 |
---|---|
Last Modified | 2023-03-16 |
Version | 2023-03-16 |
Update Frequency |
Annual |
Temporal Coverage |
2023-01-01 to 2023-12-30 |
Spatial Coverage |
United States |
Source | John Snow Labs; Centers for Medicare & Medicaid Services; |
Source License URL | |
Source License Requirements |
Copyright 2021 American Medical Association |
Source Citation |
Copyright 2021 American Medical Association |
Keywords | Billing Code, HCPCS Code, Common Procedure Coding System, CPT Codes, Alphanumeric HCPCS Procedure and Modifier Codes, HCPCS Procedure Codes, HCPCS Modifier Codes, Durable Medical Equipment, Medicare Coverage and Payment Policies |
Other Titles | Alpha Numeric HCPCS File, Procedure Codes and Modifiers |
Data Fields
Name | Description | Type | Constraints |
---|---|---|---|
Category | Define certain designated health service categories | string | - |
HCPCS_Code | List of Current Procedural Terminology (CPT)/Healthcare Common Procedure Coding System (HCPCS) Codes | string | - |
Description | Description of CPT/HCPCS Code | string | - |
Remarks | Remarks related to the HCPCS/CPT Codes | string | - |
Data Preview
Category | HCPCS Code | Description |
CLINICAL LABORATORY SERVICES | 86152 | Cell enumeration &id |
CLINICAL LABORATORY SERVICES | 86153 | Cell enumeration phys interp |
CLINICAL LABORATORY SERVICES | 86890 | Autologous blood process |
CLINICAL LABORATORY SERVICES | 86891 | Autologous blood op salvage |
CLINICAL LABORATORY SERVICES | 86927 | Plasma fresh frozen |
CLINICAL LABORATORY SERVICES | 86930 | Frozen blood prep |
CLINICAL LABORATORY SERVICES | 86931 | Frozen blood thaw |
CLINICAL LABORATORY SERVICES | 86932 | Frozen blood freeze/thaw |
CLINICAL LABORATORY SERVICES | 86945 | Blood product/irradiation |
CLINICAL LABORATORY SERVICES | 86950 | Leukacyte transfusion |