Wer kontrolliert HCPCS-Code-Änderungen und -Löschungen?

HCPCS Level II codes (national alphanumeric codes for supplies, equipment, drugs, and services not in CPT) are maintained by the Centers for Medicare & Medicaid Services (CMS) in collaboration with the American Medical Association (AMA) and other stakeholders (e.g., specialty societies, manufacturers).

Governance Process

• No single payer can unilaterally alter or delete a permanent national HCPCS code.
• Changes (additions, revisions, deletions) go through a formal rulemaking process with public comment periods.
• CMS publishes proposed changes in the Federal Register and finalizes via program memoranda.

Code Structure

• Level I = CPT codes (maintained by AMA).
• Level II = HCPCS national codes (maintained by CMS).
• Level III = Local codes (discontinued; no longer used).

This multi‑stakeholder process ensures transparency and national consistency.