Healthcare Common Procedure Coding System

E274458

United States federal standard healthcare billing code set medical classification system

The Healthcare Common Procedure Coding System (HCPCS) is a standardized coding system used in the United States to classify medical procedures, supplies, and services for billing and reimbursement, particularly under Medicare and Medicaid.

Try in SPARQL Jump to: Surface forms Disambiguation Statements Elicitation Referenced by

All labels observed (5)

Label	Occurrences
Healthcare Common Procedure Coding System canonical	3
HCPCS codes	2
HCPCS	1
HCPCS Level I	1
HCPCS Level III consisted of local codes formerly used by state Medicaid agencies and Medicare contractors	1

How this entity was disambiguated

This entity first appeared as the object of triple T2518310 — resolving that mention is where its identity was fixed. The disambiguator weighed these candidate entities and picked the highlighted one (or “None”, minting a new entity). This is how homonymy is resolved: the same surface form can point to different entities.

NED1 Entity disambiguation (via context triple) gpt-5-mini-2025-08-07

Target entity: Healthcare Common Procedure Coding System
Context triple: [CPT, linkedTo, Healthcare Common Procedure Coding System]

A. Current Procedural Terminology
Current Procedural Terminology is a standardized medical code set used in the United States to document and bill for medical, surgical, and diagnostic services.
B. CPT code set
The CPT code set is a standardized medical coding system used in the United States to describe medical, surgical, and diagnostic services for billing and documentation purposes.
C. SNOMED CT
SNOMED CT is a comprehensive, multilingual clinical healthcare terminology used worldwide to standardize the recording and sharing of medical information in electronic health records.
D. International Classification of Diseases
The International Classification of Diseases is a globally used diagnostic system that standardizes codes for diseases, health conditions, and related medical problems to support clinical care, research, and health statistics.
E. LOINC
LOINC (Logical Observation Identifiers Names and Codes) is a widely used international standard for identifying laboratory tests, clinical measurements, and other health observations in electronic health records and data exchange.
F. None of above. chosen
G. Unsure - the case is ambiguous/there is not enough information to decide.

NED2 Entity disambiguation (via description) gpt-5-mini-2025-08-07

Target entity: Healthcare Common Procedure Coding System
Target entity description: The Healthcare Common Procedure Coding System (HCPCS) is a standardized coding system used in the United States to classify medical procedures, supplies, and services for billing and reimbursement, particularly under Medicare and Medicaid.

A. Current Procedural Terminology
Current Procedural Terminology is a standardized medical code set used in the United States to document and bill for medical, surgical, and diagnostic services.
B. CPT code set
The CPT code set is a standardized medical coding system used in the United States to describe medical, surgical, and diagnostic services for billing and documentation purposes.
C. SNOMED CT
SNOMED CT is a comprehensive, multilingual clinical healthcare terminology used worldwide to standardize the recording and sharing of medical information in electronic health records.
D. International Classification of Diseases
The International Classification of Diseases is a globally used diagnostic system that standardizes codes for diseases, health conditions, and related medical problems to support clinical care, research, and health statistics.
E. LOINC
LOINC (Logical Observation Identifiers Names and Codes) is a widely used international standard for identifying laboratory tests, clinical measurements, and other health observations in electronic health records and data exchange.
F. None of above. chosen

Statements (51)

Predicate	Object
instanceOf	United States federal standard ⓘ healthcare billing code set ⓘ medical classification system ⓘ
abbreviation	HCPCS ⓘ linked to: Healthcare Common Procedure Coding System
administeredBy	CMS ⓘ Centers for Medicare & Medicaid Services ⓘ
appliesTo	ambulance services ⓘ durable medical equipment ⓘ orthotics ⓘ outpatient services ⓘ physician services ⓘ prosthetics ⓘ supplies not covered by CPT ⓘ
basedOn	CPT ⓘ Current Procedural Terminology ⓘ
codeFormat	Level II codes are one letter followed by four digits ⓘ
countryOfUse	United States ⓘ linked to: United States of America
domain	medical coding ⓘ
governingBody	Centers for Medicare & Medicaid Services ⓘ
hasComponent	HCPCS Level I ⓘ linked to: Current Procedural Terminology HCPCS Level II ⓘ HCPCS Level III ⓘ
hasUpdateFrequency	updated annually ⓘ
introducedBy	HCFA ⓘ linked to: Centers for Medicare & Medicaid Services Health Care Financing Administration ⓘ linked to: Centers for Medicare & Medicaid Services
legalStatus	required for Medicare billing ⓘ required for many Medicaid claims ⓘ
levelIDescription	HCPCS Level I consists of CPT codes maintained by the American Medical Association ⓘ
levelIIDescription	HCPCS Level II consists of alphanumeric codes for non-physician services and supplies ⓘ linked to: HCPCS Level II
levelIIIDescription	HCPCS Level III consisted of local codes formerly used by state Medicaid agencies and Medicare contractors ⓘ linked to: Healthcare Common Procedure Coding System
purpose	ensure uniformity in billing ⓘ facilitate claims processing ⓘ support program integrity and auditing ⓘ
regulates	standardized reporting of medical services ⓘ
relatedTo	Current Procedural Terminology ⓘ ICD diagnosis codes ⓘ
sector	healthcare ⓘ
usedBy	Medicaid agencies ⓘ linked to: Medicaid Medicare contractors ⓘ ambulance providers ⓘ hospitals ⓘ physicians ⓘ private health insurers in the United States ⓘ suppliers of medical equipment ⓘ
usedFor	Medicaid claims processing ⓘ Medicare claims processing ⓘ classifying medical procedures ⓘ classifying medical services ⓘ classifying medical supplies ⓘ health insurance reimbursement ⓘ medical billing ⓘ

How these facts were elicited

Referenced by (8)

Full triples — surface form annotated when it differs from this entity's canonical label.

CPT → linkedTo → Healthcare Common Procedure Coding System ⓘ

HCPCS Level II → partOf → Healthcare Common Procedure Coding System ⓘ

HCPCS Level II → complements → HCPCS Level I ⓘ