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Back  RFI # 2039: CPT Category II and III in 837

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Submitter

Brenda Fielder

Description

Are CPT Category II and III codes considered part of the compliance CPT code set for use in the 837 with qualifier HC?

Submitter Assigned Keywords

837 CPT

Response

The SV1-01 Qualifier 'HC' Health Care Financing Administration Common Procedural Coding System (HCPCS) Codes is from CODE SOURCE 130: Healthcare Common Procedure Coding System. The American Medical Association, AMA is the source for CPT codes.

Therefore, any valid code in this code source may be submitted in the SV1-02 when the SV1-01 is qualified by 'HC'.
Submission 4/22/2015
Status Date 6/2/2015
Status F - Final
Primary References
Document 005010X222
Section2.4
Loop2400
Segment IDSV1
External Code ListCODE SOURCE 130
Secondary References
RFI ID 2519
Document 005010X223
Section2.4
Loop2400
Segment IDSV2
External Code ListCODE SOURCE 130