HCPCS Codes and CPT or PT codes are commonly used for billing Medicare and other insurance companies.
Note: Billing related information is subject to change; please verify with proper billing authority.
- HCPCS = The Healthcare Common Procedure Coding System is based on the American Medical Association’s Current Procedural Terminology (CPT). Used for reporting physician services for Medicare. Commonly pronounced “Hix-Pix” or “Hicks-picks”.
- HCPCS = A set of codes used by Medicare that describes services and procedures. HCPCS includes Current Procedural Terminology (CPT) codes for services not included in the normal CPT code list, such as durable medical equipment and ambulance service. While HCPCS is nationally defined, there is a provision for local use of certain codes.
- Although there is a provision for local use of certain codes it is rarely used.
- The Health Care Procedure Coding System (HCPCS) is a set of health care procedure codes based on the American Medical Association’s Current Procedural Terminology (CPT). Commonly pronounced Hick-Picks.
- The HCPCS was established in 1978 to provide a standardized coding system for describing the specific items and services provided in the delivery of health care. The Health Insurance Portability and Accountability Act of 1996 (HIPAA) made the HCPCS mandatory for Medicare and Medicaid billings.
- HCPCS includes three levels of codes:
- Level I consists of the American Medical Association’s Current Procedural Terminology (CPT) and is numeric.
- Level II codes are alphanumeric and primarily include non-physician services such as ambulance services and prosthetic devices. 
- Level III consists of local codes for state Medicaid agencies.
- Code Levels further explained: HCPCS is a collection of codes and descriptors that represent procedure, supplies, products and services which may be provided to Medicare beneﬁciaries and individuals enrolled in private health insurance pro- grams. HCPCS also contains modiﬁers, which are two-position codes and descriptors used to indicate that a service or procedure has been altered by some speciﬁc circumstance, but not changed in its deﬁnition or code. The codes and modiﬁers are divided into three levels:
- LEVEL I – Codes and descriptors copyrighted by the American Medical Association’s Current Procedure Terminology (CPT), Standard Edition. These are ﬁve-position numeric codes ranging from 00000 to 99999, primarily representing physician services. Level I modiﬁers are two-position numeric codes.
- LEVEL II – Five-position alphanumeric codes, ranging from A0000 to V9999, representing primarily items and non-physician services that are not represented in the Level I category. These codes and descriptors, with the exception of the D series, are approved and maintained by the Alphanumeric Editorial Panel (consisting of CMS, the Health Insurance Association of America, and the Blue Cross and Blue Shield Association) and are listed in the HCPCS Level II code book. The D series includes codes copyrighted by the American Dental Association’s Current Dental Terminology, Second Edition (CDT-2). Level II modifiers are two-position alphanumeric codes.
- LEVEL III – Codes and descriptors developed by Medicare carriers for use at the local (carrier) level. These are ﬁve-position alphanumeric codes in the W, X, Y or Z series (ranging from W0000 to Z9999) representing physician and non-physician services that are not represented in the Level I or Level II codes. Level III modiﬁers are two-position alphanumeric codes in the W, X, Y or Z series.
- Noridian has a great link for searching for codes, pricing and date of service:
Noridian Search for Codes, Modifiers and Fees-Good for HCPCS code look-ups, Modifiers and Fee Schedules