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Questions and Answers
Match the following code types with their primary usage:
C codes = Valid only on Medicare claims for hospital outpatient prospective payment system G codes = For professional component of services not found in CPT H codes = Identify mental health services for state Medicaid agencies K codes = Used when no permanent national codes exist for the product
Match the following codes with their descriptions:
S codes = For private insurers to identify drugs and services T codes = For state Medicaid agencies when there are no permanent national codes L codes = For drugs and medical equipment not identifiable in Level II codes C codes = Specific to hospital outpatient prospective payment system claims
Match the code types to the corresponding healthcare components:
G codes = Professional services not listed in CPT H codes = Alcohol and drug treatment services S codes = Medicaid services not reimbursable under Medicare L codes = Medical equipment billing claims
Match the following code types with the insurer requirements:
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Match the following code types with their specific usages:
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Study Notes
Codes Used for Medicare Claims
- C codes: Valid only for Medicare claims and used specifically for the hospital outpatient prospective payment system.
Codes Used for Professional Services and Procedures
- G codes: Used for professional services and procedures not found in the CPT.
Codes Used for Drugs, Medical Equipment, and Services
- L codes: Used for drugs, medical equipment, and services that do not have CPT codes and are not identifiable in Level II codes but are needed to process a billing claim.
Codes Used When No Permanent National Codes Exist
- K codes: Used when no permanent national codes exist for the product or supply.
Codes Used for Private Insurers
- S codes: Used by private insurers to identify drugs, services, supplies, and procedures. They are also used by Medicaid program but are not reimbursable under Medicare.
Codes Used for State Medicaid Agencies
- H codes: Used by state Medicaid agencies to identify mental health services (alcohol and drug treatment).
- T codes: Used by state Medicaid agencies when there are not permanent national codes. While they can be used for private insurers, they are not valid for Medicare.
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Description
This quiz explores the various codes used for Medicare and other healthcare services. It covers specific codes like C, G, L, K, S, and H codes, highlighting their uses and significance in billing claims. Test your knowledge of these important coding systems!
