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HCPCS includes three levels of codes: Level I consists of the American Medical Association's Current Procedural Terminology (CPT) and is numeric.; Level II codes are alphanumeric and primarily include non-physician services such as ambulance services and prosthetic devices, and represent items and supplies and non-physician services, not covered by CPT-4 codes (Level I).
CPT II codes describe clinical components usually included in evaluation and management of clinical services and are not associated with any relative value. Category II codes are reviewed by the Performance Measures Advisory Group (PMAG), an advisory body to the CPT Editorial Panel and the CPT/HCPAC Advisory Committee.
A rate card, also known as a rate sheet, is a structured table or list that sets out the different list prices that apply to a range of services provided to enable the buyer to compare the options available. It is typically the standard published rates and therefore the maximum price a buyer will be expected to pay.
For Dummies is an extensive series of instructional reference books which are intended to present non-intimidating guides for readers new to the various topics covered. The series has been a worldwide success with editions in numerous languages.
The CPT Committee issues new codes twice each year. A separate committee, the Specialty Society Relative Value Scale Update Committee (RUC), [ 7 ] meets three times a year to set new values, [ 8 ] determines the Relative Value Units (RVUs) for each new code, and revalues all existing codes at least once every five years.
The original mammogram codes (film based mammograms) are CPT codes (77055, 77056, and 77057), so it would be easy to overlook the increasingly used digital mammogram codes that remain as HCPCS Level 2 codes if one did not know they existed (and possibly under-report mammogram statistics).
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The AAPC, previously known by the full title of the American Academy of Professional Coders, [4] is a professional association for people working in specific areas of administration within healthcare businesses in the United States. [5]