HCPCS Code Management / How to Use on Claims

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HCPCS Code Management / How to Use on Claims


Manage and verify your HCPCS (procedure) codes, and learn how they are used in claims. This article covers the setup process, syncing with CMS updates, and how HCPCS appear based on job code and payer rules.

HCPCS Codes: Codes > Other Basic Codes > HCPCS

Job Code Setup: Codes > Rates > Job Codes

Payer Settings: Codes > Program Related Codes > Payer Codes

HCPCS Code Management - Codes > Other Basic Codes > HCPCS Codes

Verify Updates Button
  • Compares your local HCPCS codes with the CMS-Master list in Barnestorm’s central database.
  • Displays totals to show if updates are needed.
  • Removes codes with an expired date on or before 1/1/2016.
Import HCPCS Codes
  • Imports new codes, removes outdated ones, and updates existing codes to match CMS's latest release.
  • Manual changes such as a Thru Date may be overwritten to reflect CMS data.
Search for a Code
  • Use the search field to look up codes by either Code or Description.
  • Click Search to view matching HCPCS codes and select from the list.
View CMS Page for list of most recent updates: List of CPT/HCPCS Codes | CMS

How HCPCS Are Used on Claims - Codes > Rates > Job Codes

  • Job Code Determines the HCPCS

    • Each discipline/service type (e.g., SN, PT) has a unique Job Code.
    • The HCPCS field in the Job Code is what carries over to claims.
    • Job Codes are assigned to Schedules, Visits Assessments, EVV Visits, Manually keyed visits.
    • If the wrong HCPCS appears on a claim, start here to verify setup.
  • Multiple HCPCS for One Service
    • Some disciplines may have different HCPCS codes for different payers.
    • Create separate Job Codes when needed.

Payer Overrides Using Medicare G Codes - Codes > Program Related Codes > Payer Codes

  • Go to Payer Codes, pull up the payer, and check the field:“Use Medicare HCPCS
    • If Yes, the Job Code’s HCPCS will be replaced with G-codes.
    • The Rev Code used on the Job Code determines which G-code appears.
📅 Last updated: 7/28/2025
📩 Need help? Contact Barnestorm Support


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Details
Last Modified:Monday, July 28, 2025

Last Modified By: farrah@barnestorm.com

Type: HOWTO

Rated 5 stars based on 1 vote

Article has been viewed 7,714 times.

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