Difference between CPT and HCPCS

Jamie Frew
Jamie Frew
Share

Overview on Healthcare Common Procedure Coding System

Before we compare HCPCS vs. CPT, let’s look at HCPCS or Healthcare Common Procedure Coding System.

HCPCS talks about healthcare procedure codes to describe basic healthcare services or items. It aims to provide a standardized coding system for healthcare professionals using the CPT codes, and it has two key components: Level I and Level II.

Level I is a coding system published by the American Medical Association or AMA. Level I HCPCS (CPT-4) has codes and terms to identify medical services or procedures physicians perform.

While Level II HCPCS refers to products, services, and supplies that aren’t included in the CPT-4. Some examples are DMEPOS or durable medical equipment, prosthetics, orthotics, and supplies. The Level II of HCPCS reports non-physician services together with DMEPOS.

Click here to view on YouTube

Understanding CPT coding terminology

Before discussing the difference between HCPCS and CPT codes, it’s essential to understand both. So to begin, let’s take a look at CPT.

CPT® means Current Procedural Terminology, which are codes that healthcare professionals use to standardize medical procedures and ensure accurate billing systems and reporting. CPT codes are used worldwide, and are developed, maintained, and copyrighted by AMA or the American Medical Association. CPT codes have three different categories:

  • Category I: These codes describe medical procedures and services that are widely performed within the healthcare industry.
  • Category II: These codes are used to track performance and quality indicators.
  • Category III: These codes track emerging technologies, procedures, and services that are not yet widely performed within the healthcare industry.

To summarize, CPT codes refer to services like surgeries, radiology, evaluation and management, anesthesiology, and more.

Difference between CPT and HCPCS

Here’s a complete breakdown of CPT codes vs HCPC in a table format, so you can better visualize the differences between these coding systems:

These are the key differences between CPT vs HCPCS codes. In summary, CPT and HCPCS codes aim to standardize and create a uniform language for the healthcare industry, ensuring that compliance is adhered to and medical practitioners can receive reimbursement for their services.

Conclusion

At first, HCPCS codes vs CPT can be overwhelming. But to sum it up, HCPCS refers to codes used for billing, insurance, and more provided for the patients. At the same time, CPT codes describe the medical procedures or services done for the patients.

Even if they’re different, they can work hand in hand to ensure that the healthcare industry can strengthen compliance and provide the best quality care for patients.

If you’re looking for an innovative approach to managing your administrative tasks, check out and sign up for Carepatron now!

Further reading:

Related Articles

Right ArrowRight Arrow

7 Telehealth Benefits

Discover 7 Telehealth Benefits, including virtual visits, enhanced patient care, and reduced stress. Learn how telemedicine transforms healthcare!

Karina Jimenea
Karina Jimenea
6min read

Counseling CPT codes for private practitioners

Familiarize yourself with the most commonly used CPT codes for counselors. Equipping yourself with this knowledge will allow you to streamline the coding process and receive accurate reimbursements at a faster rate.

Katherine Ellison
Katherine Ellison
6min read

Depression worksheets for teenagers (Examples)

Managing depression for teenage clients can be complex. Here is a comprehensive overview of some of the tools you can use to help teenagers cope with their symptoms of depression, including examples of various worksheets.

Ashleigh Knowles
Ashleigh Knowles
6min read

Why Are ICD and CPT Codes Important for Private Practitioners? (A Complete Guide)

Understanding how medical coding works is an essential aspect of working in healthcare. Here is a complete guide to both ICD and CPT codes so your practice can perfect its coding process.

Ashleigh Knowles
Ashleigh Knowles
6min read

A guide to CPT codes and how to use them

CPT codes are an essential aspect of classifying medical procedures in order to receive reimbursement. Check out this how-to guide and become an expert on CPT codes in no time.

Jamie Frew
Jamie Frew
7min read

Top ICD 10 Codes for Anxiety in 2023

Having a good understanding of commonly used ICD 10 codes will help your practice receive reimbursement in a timely manner. Find out what the most commonly used codes for anxiety are in 2023, and improve the efficiency of your medical billing and coding process.

Jamie Frew
Jamie Frew
7min read

20 ICD Codes for Mental Health in 2023

Here are 20 of the most commonly used ICD codes in the mental health sector in 2023. Having a good understanding of these codes will improve your medical billing and coding processes, enabling your practice to receive reimbursement at a much faster rate.

Jamie Frew
Jamie Frew
7min read

Top examples of group therapy game ideas

Check out some of the most effective group therapy game ideas, and help guide your clients toward their desired clinical outcomes using fun, engaging, and meaningful intervention strategies.

Jamie Frew
Jamie Frew
6min read

11 Engaging Ideas For Counseling Group Therapy

Discover effective and engaging ideas for your counseling group therapy sessions. Enhance your facilitation and improve outcomes for your clients. Read now.

Jamie Frew
Jamie Frew
8min read

15 therapeutic activities for teens and kids

Here are 15 of the best activities you can use with young clients. Designed to be intuitive and easily grasped, these tasks will improve engagement and strengthen your client relationships.

Ashleigh Knowles
Ashleigh Knowles
8min read

5 Best Allscripts Alternatives 2024 (Features and Pricing)

What Are the Best 5 Allscripts Alternatives? 1. Carepatron 2. TheraNest 3. DrChrono 4. WebPT 5. Simple Practice

Katherine Ellison
Katherine Ellison
8min read

5 Best NextGen Healthcare Alternatives 2024 (Features and Pricing)

What Are the Best 5 NextGen Healthcare Alternatives? 1. Carepatron 2. Kareo 3. Practice Perfect 4. Simple Practice 5. TheraNest

Ashleigh Knowles
Ashleigh Knowles
6min read

5 Best InSync Alternatives 2024 (Features and Pricing)

What Are the Best 5 InSync Alternatives? 1. Carepatron 2. Simple Practice 3. TheraNest 4. Kareo 5. TherapyNotes

Katherine Ellison
Katherine Ellison
6min read

5 Best Spruce Health Alternatives 2024 (Features and Pricing)

What Are the Best 5 Spruce Health Alternatives? 1. Carepatron 2. Practice Perfect 3. Simple Practice 3. TheraNest 5. Cliniko

Ashleigh Knowles
Ashleigh Knowles
6min read

5 Best Semble Alternatives 2024 (Features and Pricing)

What Are the Best 5 Semble Alternatives? 1. Carepatron 2. Simple Practice 3. TheraNest 4. Cliniko 5. DrChrono

Katherine Ellison
Katherine Ellison
7min read

Best Zoom for Healthcare 2024 Alternatives (Features and Pricing)

While Zoom is excellent for connecting with patients remotely, it fails to tick many boxes for managing health information or practice management software integration.

Ashleigh Knowles
Ashleigh Knowles
8min read

Best Pabau Alternatives 2024 (Features and Pricing)

This guide will offer some alternatives to the Pabau practice management system. Hopefully, by the time you’ve finished reading, you will feel more equipped to make the best decision for your practice. Let’s get started!

Ashleigh Knowles
Ashleigh Knowles
5min read

5 Best Luma Health Alternatives 2024 (Features and Pricing)

Luma Health is a patient engagement platform designed to streamline admin, optimize workflow and improve clinical outcomes; however, it sometimes fails to deliver on this promise, so it's good to be aware of alternatives.

Ashleigh Knowles
Ashleigh Knowles
8min read

Join 10,000+ teams using Carepatron to be more productive

One app for all your healthcare work