The HCPCS Level II coding system began in the 1980s. In 2003, under 42 CFR 414.40 (a), the HHS Secretary delegated authority to CMS to establish and maintain uniform national definitions of …

Dec 1, 2025 · We update the Code List to conform to the most recent publications of CPT and HCPCS codes and to account for changes in Medicare coverage and payment policies.

Aug 17, 2000 · View the HCPCS Level II Coding Procedures to learn about the HCPCS Level II coding process, procedures, and criteria.

Mar 26, 2025 · The official update of the HCPCS code system is available as a public use file below. Effective date is noted in the file title.

Sep 10, 2024 · These files contain the Level II alphanumeric HCPCS procedure and modifier codes, their long and short descriptions, and applicable Medicare administrative, coverage and pricing data.

care contractors. The file contains existing, new, revised and discontinued HCPCS codes for the uly 2025 quarter. Contractors must download the file via the CMS mainf ame in June 2025. The …

Jun 18, 2025 · CMS maintains a standard application process for requesting HCPCS Level II codes. Detailed information and instructions for CMS’ HCPCS Level II coding application and procedures …

Sep 19, 2025 · The absence or presence of a HCPCS, NDC code, and/or the payment limits in the ASP Pricing Files does not indicate whether Medicare covers a particular product.

The HCPCS Level II Code Set is one of the standard, national medical code sets specified by the Health Insurance Portability and Accountability Act (HIPAA) for this purpose. The HCPCS is divided into two …

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