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Free Medical Coding > Free 2024 HCPCS Codes > 2024 HCPCS Modifiers > HCPCS ‘C’ Modifiers

HCPCS ‘C’ Modifiers

  • ModifierDescription
  • CAProcedure payable only in the inpatient setting when performed emergently on an outpatient who expires prior to admission
  • CBService ordered by a renal dialysis facility (rdf) physician as part of the esrd beneficiary’s dialysis benefit, is not part of the composite rate, and is separately reimbursable
  • CCProcedure code change (use ‘cc’ when the procedure code submitted was changed either for administrative reasons or because an incorrect code was filed)
  • CDAmcc test has been ordered by an esrd facility or mcp physician that is part of the composite rate and is not separately billable
  • CEAmcc test has been ordered by an esrd facility or mcp physician that is a composite rate test but is beyond the normal frequency covered under the rate and is separately reimbursable based on medical necessity
  • CFAmcc test has been ordered by an esrd facility or mcp physician that is not part of the composite rate and is separately billable
  • CGPolicy criteria applied
  • CH0 percent impaired, limited or restricted
  • CIAt least 1 percent but less than 20 percent impaired, limited or restricted
  • CJAt least 20 percent but less than 40 percent impaired, limited or restricted
  • CKAt least 40 percent but less than 60 percent impaired, limited or restricted
  • CLAt least 60 percent but less than 80 percent impaired, limited or restricted
  • CMAt least 80 percent but less than 100 percent impaired, limited or restricted
  • CN100 percent impaired, limited or restricted
  • COOutpatient occupational therapy services furnished in whole or in part by an occupational therapy assistant
  • CQOutpatient physical therapy services furnished in whole or in part by a physical therapist assistant
  • CRCatastrophe/disaster related
  • CSCost-sharing waived for specified covid-19 testing-related services that result in and order for or administration of a covid-19 test and/or used for cost-sharing waived preventive services furnished via telehealth in rural health clinics and federally qualified health centers during the covid-19 public health emergency
  • CTComputed tomography services furnished using equipment that does not meet each of the attributes of the national electrical manufacturers association (nema) xr-29-2013 standard