Section title: Requests for Interpretation
RFI #
2039
CPT Category II and III in 837
Description

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

RFI 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'.

DOCUMENT ID
005010X222