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US · guidance

CMS Pub. 100-04, ch. 23, § 20

Description of Healthcare Common Procedure Coding System (HCPCS)

activein force · 2026-08-25 – presentas-observed

The HCPCS has been adopted as the code set for use in Health Insurance Portability and Accountability Act

(HIPAA) transactions, for reporting outpatient procedures, items, and services.

The HCPCS originated from the American Medical Association’s (AMA) “Physicians’ Current Procedural

Terminology, Fourth Edition” (CPT-4). It includes two levels of codes and modifiers. Level I contains only

the AMA’s CPT-4 codes. This level consists of all numeric codes. Level II contains alpha-numeric codes

primarily for items and nonphysician services not included in CPT-4, e.g., ambulance, DME, orthotics, and

prosthetics. These are alpha-numeric codes maintained by CMS.

The CMS monitors the system to ensure uniformity.

History

(Rev. 10320, Issued: 08-28-2020, Effective: 12-01-2020, Implementation: 12-01-2020)

Provenance

Source
cms.gov
Retrieved
2026-08-25
Edition
iom-2026-08-25
Content hash
03aa59951c8285c73de64486e2d150b5eb9637917d6aaa5227912417f77d42ea
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