The HCPCS Level II coding system began in the 1980s. In 2003, under 42 CFR 414.40 (a), the HHS Secretary delegated authority to CMS to establish and maintain uniform national definitions of …

Dec 1, 2025 · We update the Code List to conform to the most recent publications of CPT and HCPCS codes and to account for changes in Medicare coverage and payment policies.

Aug 17, 2000 · View the HCPCS Level II Coding Procedures to learn about the HCPCS Level II coding process, procedures, and criteria.

Mar 26, 2025 · The official update of the HCPCS code system is available as a public use file below. Effective date is noted in the file title.

Sep 10, 2024 · These files contain the Level II alphanumeric HCPCS procedure and modifier codes, their long and short descriptions, and applicable Medicare administrative, coverage and pricing data.

Who Do I Contact with Questions?For Questions AboutContactHCPCS Level I Current Procedural Terminology (CPT®) codesAmerican Medical Association (AMA)HCPCS Level II codingEmail …

Jun 18, 2025 · CMS maintains a standard application process for requesting HCPCS Level II codes. Detailed information and instructions for CMS’ HCPCS Level II coding application and procedures …

This document presents a summary of each HCPCS Level II code application and CMS’ coding determination for each application processed in CMS’ First Quarter 2025 Drug and Biological …

Mar 13, 2025 · To make sure that Medicare & Medicaid only pay for laboratory tests performed in certified facilities, CMS edits each claim for a HCPCS code that’s considered a CLIA laboratory test …

As part of CMS’ ongoing efforts to improve transparency regarding HCPCS Level II coding decisions and streamline our processes, CMS has implemented additional improvements to the issuance of …