CMS HCPCS Coding Questions

Guidance for coding questions for Healthcare Common procedure Coding System (HCPCS) level I and level II.

Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: February 11, 2020

Who Do I Contact with Questions?

For Questions About	Contact
HCPCS Level I Current Procedural Terminology (CPT®) codes	American Medical Association (AMA)
HCPCS Level II coding	Email hcpcs@cms.hhs.gov
Billing or coding issues	Contact the insurer(s) in the jurisdiction(s) where you'll file the claim. For Medicare, contact your Medicare Administrative Contractor (MAC) For Medicaid, contact the Medicaid Agency For private insurance, contact the individual private insurance entity
Average Sales Price (ASP) HCPCS-National Drug Code (NDC) crosswalk for drugs	Email Sec303ASPdata@cms.hhs.gov
Request a meeting with HCPCS Level II staff about an existing HCPCS Level II coding application	Email MedicareInnovation@cms.hhs.gov
Medicare benefit category determinations for Medicare fee schedule for durable medical equipment	Email DMEPOS@cms.hhs.gov
Medicare payment policy for CPT® codes	Email MedicarePhysicianFeeSchedule@cms.hhs.gov

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DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.