HL7.TERMINOLOGY\HCFA Procedure Codes (HCPCS)

This page is part of the HL7 Terminology (v2.0.0: Release) based on FHIR R4. The current version which supercedes this version is 5.2.0. For a full list of available versions, see the Directory of published versions

CodeSystem: HCFA Procedure Codes (HCPCS)

Summary

Defining URL:

http://terminology.hl7.org/CodeSystem/HCPCS

Version:

2.1.0

Name:

HPC

Title:

HCFA Procedure Codes (HCPCS)

Status:

Active as of 2019-03-20

Definition:

The Healthcare Common Procedure Coding System (HCPCS) contains alpha-numeric codes used to identify those coding categories not included in the American Medical Association's CPT-4 codes (such as supplies)

For example: E1093 - Wheelchair wide w/ foot rest

Common Name - HCPCS

Related Names, Versions, and Synonyms - Health Care Financing Administration Common Procedure Coding System

Authoring/Maintenance Authority - US Health Care Financing Administration

Coverage - Medical and Surgical Procedures, Supplies and Services

License Fee(s) - Please review detailed description.

Intended Use - Billing and claims processing for medical and surgical services and supplies

Other Uses -

Update Frequency - Generally, once a year.

Content:

Fragment: A subset of the code system concepts are included in the code system resource

OID:

2.16.840.1.113883.6.14 (for OID based terminology systems)

Source Resource:

XML / JSON / Turtle

This Code system is referenced in the content logical definition of the following value sets:

HealthCareCommonProcedureCodingSystem

Properties

Code

URL

Description

Type

status

http://hl7.org/fhir/concept-properties#status

Designation of a concept's state. Normally is not populated unless the state is retired..

code

internalId

http://terminology.hl7.org/CodeSystem/utg-concept-properties#v3-internal-id

The internal identifier for the concept in the HL7 Access database repository.

code

notSelectable

http://hl7.org/fhir/concept-properties#notSelectable

Indicates that the code is abstract - only intended to be used as a selector for other concepts

boolean

This code system http://terminology.hl7.org/CodeSystem/HCPCS defines many codes, of which the following are a subset:

Lvl	Code	Display	Definition	status	internalId	Not Selectable
1	_VisionProductEntityType	VisionProductEntityType	Description:Materials used for vision care.	retired	22027	true
2	_CanadianVisionProductRoleType	CanadianVisionProductRoleType		retired	22029	true
2	_CPT4	CPT4	Physicians' Current Procedural Terminology (CPT) Manual is a listing of descriptive terms and identifying codes for reporting medical services and procedures performed by physicians. Available for the AMA at the address listed for CPT above. These codes are found in Appendix A of CPT 2000 Standard Edition. (CPT 2000 Standard Edition, American Medical Association, Chicago, IL).	retired	22028	true

History

Date

Action

Custodian

Author

Comment

2020-08-17

revise

Vocabulary WG

Ted Klein

Add element to declare case sensitivity explicitly - needed for FHIR support