The HCPCS Level II Professional 2027 Edition with Dental Codes is an essential guide with Medicare coverage essentials for health care professionals seeking up-to-date, accurate coding for billing integrity. Organized for fast and precise code selection, this codebook features the latest Healthcare Common Procedure Coding System (HCPCS) Level II codes and regulations, making it an essential resource for:
- Accurate Coding & Billing: Access the most current HCPCS Level II codes and guidelines to support compliant billing and reimbursement for physicians, hospital outpatient and durable medical equipment, prosthetics, and orthotics and supplies (DMEPOS) services.
- Practical Organization: Navigate efficiently with color-coded bars and icons, tables and anatomical and non-anatomical illustrations for ease of use and enhanced coding accuracy.
- New! Separate Resource: The American Dental Association’s (ADA’s) current dental terminology (CDT) codes for dental procedures and services are provided in a separate booklet for convenient access.
BENEFITS
- Visual Clarity: Detailed anatomy color illustrations improve coding based on anatomy and identify images for code-related supplies and services.
- Easy Drug Lookup: A Table of Drugs and Biologicals provide quick access to generic and trade drug names and their corresponding codes based on amount and route of administration.
- Appendixes: Find additional information easily with structured references and excerpts, including new, revised, and deleted codes, deleted code crosswalks, place of service, IOM, acronyms/abbreviations and social determinants of Health (SDOH)
- Age/Sex Edits: Clearly identify codes restricted to specific patient ages or sexes.
- Quantity Feature: Indicates acceptable units per patient per day for medically unlikely edits (MUEs) to help enhance accuracy on claims.
- Expanded Guidance:
- American Hospital Association (AHA) Coding Clinic® for HCPCS references provide authoritative coding support for difficult-to-code HCPCS Level II codes and sections.
- DMEPOS icon identify codes payable under the DMEPOS fee schedule to improve coding efficiency for supplies submitted to durable medical payers.
- ASC payment and status indicators show which codes are payable under the Hospital Outpatient Prospective Payment System.
- Includes HCPCS Level II modifiers and descriptions and easy-to-understand guidance and coding tips for some of the more difficult modifiers, assisting in appropriate usage and reimbursement.
- Special coverage, noncovered by Medicare, and carrier discretion alerts highlight codes with unique coverage instructions.
The HCPCS Level II Professional 2027 Edition empowers health care professionals to work accurately and confidently with the latest HCPCS Level II codes and guidance for today’s health care reimbursement environment.
