| CA |
Procedure payable only in the inpatient setting when performed emergently on an outpatient who expires prior to admission |
| CB |
Service 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 |
| CC |
Procedure code change (use 'cc' when the procedure code submitted was changed either for administrative reasons or because an incorrect code was filed) |
| CD |
Amcc test has been ordered by an esrd facility or mcp physician that is part of the composite rate and is not separately billable |
| CE |
Amcc 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 |
| CF |
Amcc test has been ordered by an esrd facility or mcp physician that is not part of the composite rate and is separately billable |
| CG |
Policy criteria applied |
| CH |
0 percent impaired, limited or restricted |
| CI |
At least 1 percent but less than 20 percent impaired, limited or restricted |
| CJ |
At least 20 percent but less than 40 percent impaired, limited or restricted |
| CK |
At least 40 percent but less than 60 percent impaired, limited or restricted |
| CL |
At least 60 percent but less than 80 percent impaired, limited or restricted |
| CM |
At least 80 percent but less than 100 percent impaired, limited or restricted |
| CN |
100 percent impaired, limited or restricted |
| CO |
Outpatient occupational therapy services furnished in whole or in part by an occupational therapy assistant |
| CP |
Adjunctive service related to a procedure assigned to a comprehensive ambulatory payment classification (c-apc) procedure, but reported on a different claim |
| CQ |
Outpatient physical therapy services furnished in whole or in part by a physical therapist assistant |
| CR |
Catastrophe/disaster related |
| CS |
Item or service related, in whole or in part, to an illness, injury, or condition that was caused by or exacerbated by the effects, direct or indirect, of the 2010 oil spill in the gulf of mexico, including but not limited to subsequent clean-up activities |
| CT |
Computed tomography services furnished using equipment that does not meet each of the attributes of the national electrical manufacturers association (nema) xr-29-2013 standard |