MC055

HCPCS or CPT code for the procedure performed. It is one of three fields used to report the service. Health Care Common Procedural Coding System (HCPCS), including CPT codes of the American Medical Association, are accepted.

For some types of care, procedures are billed using CPT (Current Procedural Terminology) /HCPCS (Healthcare Common Procedure Coding System) codes, rather than ICD. CPT codes, also called Level I HCPCS codes, are used to bill physician services and they are copyrighted by the American Medical Association (AMA). There are three categories of HCPCS codes. CPT/Level I HCPCS codes are five position numeric codes. Level II HCPCS codes are five position alpha-numeric codes. Level II HCPCS were developed by CMS and are primarily used for equipment, supplies, or non-physician services that are not covered by an AMA CPT code. Level III HCPCS codes existed in the past but these were local codes and have been discontinued.  See also MC130.

See Appendix K - External Sources.