What distinguishes CPT codes from HCPCS Level II codes?

The distinction between CPT codes and HCPCS Level II codes lies in their specific applications within the healthcare system. CPT codes, which stand for Current Procedural Terminology, are primarily utilized to describe medical, surgical, and diagnostic services provided by healthcare professionals. This includes everything from office visits and procedures to complex surgeries and evaluations.

On the other hand, HCPCS Level II codes are intended to cover a broader range of health services, including items that are not typically included in CPT codes. These can encompass non-physician services, such as ambulance services, durable medical equipment, prosthetics, and certain supplies. Therefore, this option highlights that CPT codes focus on services performed by physicians and other practitioners, while HCPCS Level II codes are designed for services and items that are ancillary to traditional medical and surgical services.

Understanding this distinction helps coders accurately choose the appropriate codes for billing and documentation based on the specific service provided, ensuring compliance and proper reimbursement.