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The healthcare common procedure coding system (hcpcs, often pronounced by its acronym as hick picks) is a set of health care procedure codes based on the american medical association 's current procedural terminology (cpt). The ama nominates eleven of the members while the remaining seats are nominated by the blue cross and blue shield association, the health insurance association of america, cms, and the american hospital association. Despite the copyrighted nature of the cpt code sets, the use of the code is mandated by almost all health insurance payment and information systems, including the centers for medicare and medicaid services (cms), and the data for the code sets appears in the federal register.

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It is used by researchers, psychiatric drug regulation agencies, health insurance companies, pharmaceutical companies, the legal system, and policymakers No new disorders or conditions were introduced, although a small number of subtypes were added and removed Some mental health professionals use the manual to determine and help communicate a patient's diagnosis after an evaluation.

Level ii codes are composed of a single letter in the range a to v, followed by 4 digits.

The categorizations and the diagnostic criteria were largely unchanged

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