A coder finds two codes to report a service provided; one code is in the Level I manual and one is in the Level II manual. The code descriptions are identical. What should the coder do?

Question

Quizplus · Accepted Answer

The correct action is to use the Level I code unless otherwise indicated by the payer. Level I codes, part of the Current Procedural Terminology (CPT) codes, are generally the primary source for reporting medical services and procedures. Level II codes, or HCPCS Level II codes, often cover products, supplies, and certain services not included in the CPT codes. When descriptions are identical, the preference is typically for the Level I CPT code, unless the payer specifies otherwise.

A Coder Finds Two Codes to Report a Service Provided;