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.

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.

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 …

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.

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

Nov 19, 2024 · Who Do I Contact with Questions?For Questions AboutContactHCPCS Level I Current Procedural Terminology (CPT®) codesAmerican Medical Association (AMA)HCPCS Level II …

Mar 27, 2025 · CMS deleted the following HCPCS code and descriptor from the Discarded Drugs and Biologicals – JW Modifier and JZ Modifier Policy HCPCS Codes (PDF) list: J0739 — Injection, …

The HCPCS codes listed below were added on January 1, 2025, are subject to CLIA edits. 81195 Cytogenomic (genome-wide) analysis, hematologic malignancy, structural variants and copy number …

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.