2025 HCPCS Modifiers CA

Procedure payable only in the inpatient setting when performed emergently on an outpatient who expires prior to admission

TAGS: outpatient prior setting expires admission emergently inpatient payable performed procedure

Short Description	Procedure payable inpatient
HCPCS Action Code	N - No maintenance for this code
HCPCS Coverage Code	C - Carrier judgment
HCPCS Code Added Date	January 01, 2003
HCPCS Action Effective Date	January 01, 2003

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• CH - 0 percent impaired, ltd, res
• CI - 1 to <20 percent impaired
• CJ - 20 to <40 percent impaired
• CK - 40 to <60 percent impaired
• CL - 60 to <80 percent impaired
• CM - 80 to <100 percent impaired
• CN - 100 percent impaired, ltd
• CO - Outpatient ot service by ota
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