NHA Billing and Coding Specialist Practice Exam 2025 - Free Billing and Coding Practice Questions and Study Guide

The coding system used for durable medical equipment (DME) is HCPCS Level II. This system is specifically designed to standardize the coding of services and supplies that are not included in the CPT codes. HCPCS Level II codes encompass a wide range of items, including DME such as wheelchairs, oxygen equipment, and other medical supplies necessary for patient care outside a hospital setting.

Using HCPCS Level II codes ensures clarity and consistency in billing for these items. It allows healthcare providers to communicate more effectively with payers about the services provided, ensuring that proper reimbursement can be obtained for DME. By contrast, CPT codes are primarily focused on procedures and services rendered by healthcare professionals, and ICD-10 is used for diagnosis coding, which does not specifically address equipment or supplies. Therefore, HCPCS Level II is the correct and appropriate choice for coding durable medical equipment.