HCPCS Level I & II Contacts

HCPCS Level I

Contact the AMA for issues related to the application of HCPCS Level I Current Procedural Terminology (CPT®) codes. 

HCPCS Level II

• To contact CMS, email hcpcs@cms.hhs.gov
• For any billing or coding issues, refer to the insurer(s) in whose jurisdiction(s) the claim would be filed.
  • For Medicare, please contact the Medicare Administrative Contractor (MAC) in whose jurisdiction the claim would be filed.
  • For Medicaid, contact the Medicaid Agency in the state in which the claim would be filed.
  • For private insurance, contact the individual private insurance entity.
• For coding questions about existing HCPCS Level II codes related to non-drug and non-biological products (for example, durable medical equipment, prosthetics, orthotics, and other supplies), contact the Pricing, Coding Analysis, and Coding (PDAC) Medicare contractor.
  • The PDAC helps suppliers and manufacturers determine which existing HCPCS Level II code should be used to describe non-drug and non-biological items for Medicare billing.
  • The PDAC has a Durable Medical Equipment Coding System (DMECS) where you can search for HCPCS Level II details and Medicare fees, modifier details, product classifications, and more.
• For coding questions about 505(b)(2) approved drugs or biologicals, review the Frequently Asked Questions for Single Source Drugs and Biologicals (PDF).
• For questions related to Average Sales Price (ASP) HCPCS-National Drug Code (NDC) crosswalk for drugs, email Sec303ASPdata@cms.hhs.gov