Question

If a CPT® code and a HCPCS Level II code exist for the same service, which one does Medicare prefer to report?

1) CPT® code
2) HCPCS Level II code
3) Both
4) Neither

Answer 1

If a CPT code and a HCPCS Level II code exist for the same service, Medicare prefers to report both codes.

Step-by-step explanation:

If a CPT® code and a HCPCS Level II code exist for the same service, Medicare prefers to report both codes.

CPT® codes are used to report medical procedures and services provided by physicians and other healthcare professionals, while HCPCS Level II codes are used to report supplies, durable medical equipment, and certain services. Both code sets are important for accurate billing and reimbursement.

For example, if a healthcare provider provides a service and there is a specific CPT code for that service as well as a HCPCS Level II code for the supplies used during the service, both codes need to be reported to Medicare for proper reimbursement.