HCPCS Level II codes are used for which purpose?

• A. CPT codes for surgical procedures
• B. ICD-10-CM diagnosis coding
• C. Procedures and CPT
• D. Medicare coding for products, supplies, and services not in CPT, including DME and injections

Answer: (D)

HCPCS Level II codes exist to capture items and services that aren’t part of the CPT procedure codes. While CPT codes describe procedures and professional services, and ICD-10-CM handles diagnoses, Level II codes fill the gap for non-physician, non-procedure items. They are used especially for Medicare and other payers to reimburse things like durable medical equipment, prosthetics, orthotics, medical supplies, and certain drugs or injectable products. For example, a wheelchair (a durable medical item) or a specific injectable medication used in a clinic would use Level II codes rather than CPT codes.