What is the primary purpose of HCPCS codes?

The primary purpose of HCPCS codes is to cover services and items that are not reported by CPT codes. HCPCS, which stands for Healthcare Common Procedure Coding System, is a set of codes that includes not only the services and procedures performed by healthcare professionals but also various supplies and equipment, such as durable medical equipment, prosthetics, orthotics, and certain non-physician services.

While the Current Procedural Terminology (CPT) codes cover a wide range of services provided by healthcare professionals, there are specific areas where CPT codes either do not exist or are insufficient for reporting certain medical supplies or services. HCPCS codes fill this gap by providing a standardized way to identify and report these items, ensuring accurate billing and reimbursement.

Therefore, the primary focus of HCPCS codes is complementary to CPT codes, supporting a broader range of services in the healthcare billing landscape. This permits healthcare entities to comprehensively capture the healthcare services being provided, especially those that are not encompassed by the CPT system.