What main distinction exists between Level I and Level II HCPCS codes?

The primary distinction between Level I and Level II HCPCS codes lies in their content and usage. Level I codes are known as Current Procedural Terminology (CPT) codes, which are primarily used to describe medical, surgical, and diagnostic services and procedures performed by healthcare providers. These codes focus on professional services and are widely utilized across various healthcare settings in the United States.

In contrast, Level II codes are designated for a broader range of non-physician services and products. They cover items such as durable medical equipment, prosthetics, orthotics, and other supplies that are not encapsulated within the Level I CPT codes. Level II codes facilitate billing and reimbursement for these products and services under Medicare and other payers.

This distinction is essential for proper coding and billing practices, as it ensures that the healthcare services and products are accurately represented within the healthcare reimbursement system. Understanding the unique purposes of each coding level helps healthcare professionals to effectively document care and secure appropriate compensation for the services rendered.