HCPCS Modifier CB

Official Description

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

Short Descr	Esrd bene part a snf-sep pay
Medium Descr	Esrd bene part a snf-sep pay
Coverage	Carrier Priced
Added Date	4/1/2003

Modifiers

CA-CT C Modifiers

CA Procedure payable inpatient

CB Esrd bene part a snf-sep pay

CC Procedure code change

CD Amcc test for esrd or mcp md

CE Med neces amcc tst sep reimb

CF Amcc tst not composite rate

CG Policy criteria applied

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

CQ Outpatient pt service by pta

CR Catastrophe/disaster related

CS Cost share waiver Covid-19

CT Ct does not meet nema standa

Date	Action	Notes
2003-04-01	Added	Code added 4/1/2003

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HCPCS Modifier CB

Official Description

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