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HCPCS code G8950 for Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented as maintained by CMS falls under More Quality Measures .
Does Medicare accept HCPCS Level II codes?
HCPCS Level II codes are required for claims for supplies and devices covered by Medicare and Medicaid and by most private payers. Providers should always check with payers regarding coverage of HCPCS Level II codes.
Can you bill for CPT II codes?
CPT II codes are not associated with any relative value and can be billed with a $0.00 charge amount. As these codes are for reporting purposes only, they are nonpayable and will be processed ingly.
Are category II codes payable by Medicare?
Category II CPT codes are used for reporting purposes only and therefore do not have values assigned on the Medicare physician fee schedule (Resource-Based Relative Value Scale or RBRVS). The reporting of Category II CPT codes is optional, and these codes are not used in place of Category I CPT codes.
Are category 2 codes reimbursable?
Reimbursement for the administrative work and effort of completing and reporting CPT Category II codes can only be claimed once per service, per member, per year; it is earned by completing the criteria for billing the CPT Category II codes listed in Table 1 included below, including the corresponding diagnosis codes.
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1160F Review of all medications by a prescribing practitioner or clinical pharmacist (such as, prescriptions, OTCs, herbal therapies and supplements) documented in the medical record.
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