Healthcare Common Procedure Coding System

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Health·care Com·mon Pro·ce·dure Cod·ing Sys·tem

(HCPCS) (helth'kār kom'ŏn prŏ-sē'jŭr kōd'ing sis'tĕm)
The alphanumeric coding system for reporting outpatient health care services for Medicare beneficiaries.
Medical Dictionary for the Health Professions and Nursing © Farlex 2012

Healthcare Common Procedure Coding System



A standardized coding system used to process claims for insurance payments by the Centers for Medicare and Medicaid Services. It consists of two parts: a coding system devised by the American Medical Association called the Current Procedural Terminology, which describes procedures and services provided by health care professionals; and a system that identifies health-related products and services that are not provided by physicians, e.g., emergency medical services, durable medical equipment, supplies, and orthotics.
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Along with X12 837, the NPRM proposed adopting ICD-9 codes for institutional-based procedures, CPT-4 and HCFA Common Procedure Coding System (HCPCS) codes for non-institutional or ambulatory department procedures, and National Council for Prescription Drug Programs (NCPDP) codes for drug payment claims.
* Examine existing fee schedules for Part B items and services, as well as the HCFA Common Procedure Coding System (HCPCS) code book to see what details will be required on the claims forms.
HCFA has been moving toward use of the HCFA Common Procedure Coding System (HCPCS), which incorporates the full range of Current Procedural Terminology, 4th Edition (CPT-4) (American Medical Association, 1987) codes as well as HCFA-created codes.(1) As a result of coding changes taking place at different points in 1987, there are three coding deficiencies in the HOP file: Many procedures (particularly medicine) are not HCPCS-coded at all, certain surgery claims have ICD-9-CM procedure codes only, and radiology, laboratory, and pathology claims are HCPCS-coded for only part of the year.