HCPCS Code
Pronunciation: HICK-picks
Also written as: HCPCS — Healthcare Common Procedure Coding System
A standardized alphanumeric billing code from the Healthcare Common Procedure Coding System, used in the US to identify durable medical equipment and assistive technology for reimbursement.
Full Definition
HCPCS (Healthcare Common Procedure Coding System) codes are Level II alphanumeric codes used primarily in the United States to bill Medicare, Medicaid, and private insurers for medical products, including wheelchairs, orthotics, prosthetics, and other durable medical equipment (DME). Each code consists of a letter (E, K, L, etc.) followed by four digits; for example, K0001 denotes a standard manual wheelchair. Editors in rehab technology documentation must verify that HCPCS codes are accurately transcribed, correctly formatted (letter + four digits, no spaces), and match the device described in the accompanying clinical documentation. Codes are updated annually by CMS.
Usage
Usage note: Always write as 'HCPCS code' (not 'HCPCS Code' mid-sentence). Pronunciation guide 'HICK-picks' should be noted when writing for lay audiences.
In Context
- "The claim was rejected because the HCPCS code K0005 for an ultra-lightweight manual wheelchair did not match the base frame described in the order." — Medicare claim review
- "Each orthotic component must be assigned its own HCPCS code in the billing submission." — Billing compliance document