HCPC codes

From WikiMD

HCPC code is short for Health Care Procedure Code. It is a code used by Medicare and other health insurance companies for re-imburesement purposes in the United States and some other countries.

  • CS HCPC codes is the HCPS procedure code for [[Item or service related, in whole or in part, to an illness, injury, or condition that was caused by or exacerbated by the effects, direct or indirect, of the 2010 oil spill in the gulf of mexico, including but not limited to subsequent clean-up activities]]. Description of the procedure - Gulf oil 2010 spill related
  • HL HCPC codes is the HCPS procedure code for Intern. Description of the procedure - Intern
  • K3 HCPC codes is the HCPS procedure code for [[Lower extremity prosthesis functional level 3 - has the ability or potential for ambulation with variable cadence. typical of the community ambulator who has the ability to transverse most environmental barriers and may have vocational, therapeutic, or exercise activity that demands prosthetic utilization beyond simple locomotion.]]. Description of the procedure - Lwr ext prost functnl lvl 3
  • K4 HCPC codes is the HCPS procedure code for [[Lower extremity prosthesis functional level 4 - has the ability or potential for prosthetic ambulation that exceeds the basic ambulation skills, exhibiting high impact, stress, or energy levels, typical of the prosthetic demands of the child, active adult, or athlete.]]. Description of the procedure - Lwr ext prost functnl lvl 4
  • Q6 HCPC codes is the HCPS procedure code for [[Service furnished under a fee-for-time compensation arrangement by a substitute physician or by a substitute physical therapist furnishing outpatient physical therapy services in a health professional shortage area, a medically underserved area, or a rural area]]. Description of the procedure - Fee/time comp subst md or pt
  • TC HCPC codes is the HCPS procedure code for [[Technical component; under certain circumstances, a charge may be made for the technical component alone; under those circumstances the technical component charge is identified by adding modifier 'tc' to the usual procedure number; technical component charges are institutional charges and not billed separately by physicians; however, portable x-ray suppliers only bill for technical component and should utilize modifier tc; the charge data from portable x-ray suppliers will then be used to build customary and prevailing profiles]]. Description of the procedure - Technical component
  • TD HCPC codes is the HCPS procedure code for Rn. Description of the procedure - Rn
  • X1 HCPC codes is the HCPS procedure code for [[Continuous/broad services: for reporting services by clinicians, who provide the principal care for a patient, with no planned endpoint of the relationship; services in this category represent comprehensive care, dealing with the entire scope of patient problems, either directly or in a care coordination role; reporting clinician service examples include, but are not limited to: primary care, and clinicians providing comprehensive care to patients in addition to specialty care]]. Description of the procedure - Continuous/broad services
  • X2 HCPC codes is the HCPS procedure code for [[Continuous/focused services: for reporting services by clinicians whose expertise is needed for the ongoing management of a chronic disease or a condition that needs to be managed and followed with no planned endpoint to the relationship; reporting clinician service examples include but are not limited to: a rheumatologist taking care of the patient's rheumatoid arthritis longitudinally but not providing general primary care services]]. Description of the procedure - Continuous/focused services
  • X3 HCPC codes is the HCPS procedure code for [[Episodic/broad servies: for reporting services by clinicians who have broad responsibility for the comprehensive needs of the patient that is limited to a defined period and circumstance such as a hospitalization; reporting clinician service examples include but are not limited to the hospitalist's services rendered providing comprehensive and general care to a patient while admitted to the hospital]]. Description of the procedure - Episodic/broad services
  • X4 HCPC codes is the HCPS procedure code for [[Episodic/focused services: for reporting services by clinicians who provide focused care on particular types of treatment limited to a defined period and circumstance; the patient has a problem, acute or chronic, that will be treated with surgery, radiation, or some other type of generally time-limited intervention; reporting clinician service examples include but are not limited to, the orthopedic surgeon performing a knee replacement and seeing the patient through the postoperative period]]. Description of the procedure - Episodic/focused services
  • X5 HCPC codes is the HCPS procedure code for [[Diagnostic services requested by another clinician: for reporting services by a clinician who furnishes care to the patient only as requested by another clinician or subsequent and related services requested by another clinician; this modifier is reported for patient relationships that may not be adequately captured by the above alternative categories; reporting clinician service examples include but are not limited to, the radiologist's interpretation of an imaging study requested by another clinician]]. Description of the procedure - Svc req by another clinician
  • A5512 HCPC codes is the HCPS procedure code for [[For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each]]. Description of the procedure - Multi den insert direct form
  • A5513 HCPC codes is the HCPS procedure code for [[For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each]]. Description of the procedure - Multi den insert custom mold
  • A5514 HCPC codes is the HCPS procedure code for [[For diabetics only, multiple density insert, made by direct carving with cam technology from a rectified cad model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each]]. Description of the procedure - Mult den insert dir carv/cam
  • B4152 HCPC codes is the HCPS procedure code for [[Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit]]. Description of the procedure - [[Ef calorie dense>/=1.5kcal]]
  • B4154 HCPC codes is the HCPS procedure code for [[Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit]]. Description of the procedure - Ef spec metabolic noninherit
  • B4155 HCPC codes is the HCPS procedure code for [[Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium chain triglycerides) or combination, administered through an enteral feeding tube, 100 calories = 1 unit]]. Description of the procedure - Ef incomplete/modular
  • B4160 HCPC codes is the HCPS procedure code for [[Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit]]. Description of the procedure - [[Ef ped caloric dense>/=0.7kc]]
  • C5274 HCPC codes is the HCPS procedure code for [[Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; each additional 100 sq cm wound surface area, or part thereof, or each additional 1% of body area of infants and children, or part thereof (list separately in addition to code for primary procedure)]]. Description of the procedure - Low cost skin substitute app
  • C5276 HCPC codes is the HCPS procedure code for [[Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (list separately in addition to code for primary procedure)]]. Description of the procedure - Low cost skin substitute app
  • C5277 HCPC codes is the HCPS procedure code for [[Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and children]]. Description of the procedure - Low cost skin substitute app
  • C5278 HCPC codes is the HCPS procedure code for [[Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 sq cm; each additional 100 sq cm wound surface area, or part thereof, or each additional 1% of body area of infants and children, or part thereof (list separately in addition to code for primary procedure)]]. Description of the procedure - Low cost skin substitute app
  • C8927 HCPC codes is the HCPS procedure code for [[Transesophageal echocardiography (tee) with contrast, or without contrast followed by with contrast, for monitoring purposes, including probe placement, real time 2-dimensional image acquisition and interpretation leading to ongoing (continuous) assessment of (dynamically changing) cardiac pumping function and to therapeutic measures on an immediate time basis]]. Description of the procedure - Tee w or w/o fol w/cont, mon
  • C8928 HCPC codes is the HCPS procedure code for [[Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report]]. Description of the procedure - Tte w or w/o fol w/con,stres
  • C8929 HCPC codes is the HCPS procedure code for [[Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, complete, with spectral doppler echocardiography, and with color flow doppler echocardiography]]. Description of the procedure - Tte w or wo fol wcon,doppler
  • C8930 HCPC codes is the HCPS procedure code for [[Transthoracic echocardiography, with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report; including performance of continuous electrocardiographic monitoring, with physician supervision]]. Description of the procedure - Tte w or w/o contr, cont ecg
  • C8937 HCPC codes is the HCPS procedure code for [[Computer-aided detection, including computer algorithm analysis of breast mri image data for lesion detection/characterization, pharmacokinetic analysis, with further physician review for interpretation (list separately in addition to code for primary procedure)]]. Description of the procedure - Cad breast mri