HCPCS code definition
Examples of HCPCS code in a sentence
Peer specialist services will be billed under their supervising clinician’s NPI, using HCPCS code H0038 – Self-help/peer services.
Monthly payments for claimed services shall be based on the units of service assigned to each CPT or HCPCS code entered in the COUNTY’S billing and transactional database in combination with the formula involving the hourly service rates and practitioner types listed below.
The MCO must deny the claim line item, if such a claim is missing the NDC information, or the NDC is not valid for the corresponding HCPCS code, as the drug is not considered a covered Medicaid benefit.
All outpatient medical claims for provider-administered drugs must contain a Healthcare Common Procedure Coding System (HCPCS) code, a National Drug Codes (NDC) number, the NDC unit of measure, and the NDC quantity.
Implants shall be billed using the most descriptive CPT or HCPCS code and EGID will allow up to the net cost plus 10%, including shipping, handling, and tax.