The Common Procedural Terminology (CPT) published by the American Medical Association (AMA) and Healthcare Procedural Coding System (HCPCS) codes published by the Centers for Medicare and Medicaid Services (CMS) are required to bill physician services, labs, and durable medical equipment. Several other categories of services comprise the HCPCS codes including ambulance, dental, temporary Medicare services, and some mental health care.
Procedure codes are searchable by keyword and code number, and the Detail Display pages contain the following specific information if applicable to the code:
- Gender edits
- Correct Coding Initiative (CCI) current bundling/unbundling rules
- Medicare fee schedule pricing for each service paid by Medicare and customized to your Medicare locality. This information helps you understand your reimbursement and can determine co-pay information for your Medicare beneficiaries.
- Links to the full text of applicable local coverage decisions (LCDs) that contain the medical necessity rules published by your local Medicare Administrative Contractor. With these policies you can determine whether a patient has a diagnosis code that substantiates payment for a particular covered procedure, and if there are any special coding or billing requirements.
- For Medicare fees and policies, each coder has the option of changing the contractor at any time to comply with rules that apply in one practice area but not another or just to compare policies or pricing between contractors.
Available to all SpeedECoder coders is a downloadable HCPCS SpeedEBook that contains all of the codes and descriptions that you can use offline, on your handheld, or even to print out.