HCPCS 'C' Modifiers (20)

CodeDescription
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
CPAdjunctive service related to a procedure assigned to a comprehensive ambulatory payment classification (c-apc) procedure, but reported on a different claim
Terminated: December 31, 2017
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