Which entity developed HCPCS codes?

Prepare for the AMCA Medical Coder and Biller Certification exam. Engage with flashcards and multiple choice questions, each crafted with hints and detailed explanations. Ensure your success!

The Healthcare Common Procedure Coding System (HCPCS) codes were developed by the Centers for Medicare and Medicaid Services (CMS). This coding system was established to provide a standardized approach to coding medical procedures, supplies, products, and services that are not covered by the Current Procedural Terminology (CPT) system.

CMS created HCPCS to help streamline billing and claims processing for Medicare and Medicaid services, ensuring that healthcare providers can accurately report the services they perform and receive appropriate reimbursement. HCPCS codes encompass two levels: Level I codes, which align with CPT, and Level II codes, which cover non-physician services such as ambulance services and durable medical equipment.

While other organizations such as the World Health Organization (WHO), the Centers for Disease Control and Prevention (CDC), and the American Hospital Association (AHA) play important roles in public health, disease management, and hospital advocacy, they are not responsible for the development of HCPCS codes. Thus, the role of CMS in creating and maintaining this coding system is critical for the functioning of medical billing and coding in the United States.

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