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HCPCS Codes Similar to CE

HCPCS Codes Similar to “CE” Code.
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

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
Code added date: 20030401
Code effective date: 20040101
P2038
Mucoprotein, blood (seromucoid) (medical necessity procedure)
Code added date: 19860101
Code effective date: 19930101
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
Code added date: 20040101
Code effective date: 20040101
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
Code added date: 20040101
Code effective date: 20040101
M1269
Receiving esrd mcp dialysis services by the provider on the last day of the reporting month
Code added date: 20240101
Code effective date: 20240101
G1025
Patient-months where there are more than one medicare capitated payment (mcp) provider listed for the month
Code added date: 20220101
Code effective date: 20220101
L5986
All lower extremity prostheses, multi-axial rotation unit ('mcp' or equal)
Code added date: 19890101
Code effective date: 19960101
L6035
Single prosthetic digit, mechanical, can include metacarpophalangeal (mcp), proximal interphalangeal (pip), and/or distal interphalangeal (dip) joint(s), with or without locking mechanism, can include flexion or extension assist, any material, attachment, initial issue or replacement
Code added date: 20251001
Code effective date: 20251001
L6036
Prosthetic thumb, mechanical, can include metacarpophalangeal (mcp), interphalangeal (ip) joint(s), with or without locking mechanism, can include flexion or extension assist, any material, attachment, initial issue or replacement
Code added date: 20251001
Code effective date: 20251001
L8631
Metacarpal phalangeal joint replacement, two or more pieces, metal (e.g., stainless steel or cobalt chrome), ceramic-like material (e.g., pyrocarbon), for surgical implantation (all sizes, includes entire system)
Code added date: 20040101
Code effective date: 20040101
G2088
Office-based treatment for opioid use disorder, including care coordination, individual therapy and group therapy and counseling; each additional 30 minutes beyond the first 120 minutes (list separately in addition to code for primary procedure)
Code added date: 20200101
Code effective date: 20200101
G0316
Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99223, 99233, and 99236 for hospital inpatient or observation care evaluation and management services). (do not report g0316 on the same date of service as other prolonged services for evaluation and management 99358, 99359, 99418, 99415, 99416). (do not report g0316 for any time unit less than 15 minutes)
Code added date: 20230101
Code effective date: 20230101
G0317
Prolonged nursing facility evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99306, 99310 for nursing facility evaluation and management services). (do not report g0317 on the same date of service as other prolonged services for evaluation and management 99358, 99359, 99418). (do not report g0317 for any time unit less than 15 minutes)
Code added date: 20230101
Code effective date: 20230101
G0318
Prolonged home or residence evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99345, 99350 for home or residence evaluation and management services). (do not report g0318 on the same date of service as other prolonged services for evaluation and management 99358, 99359, 99417). (do not report g0318 for any time unit less than 15 minutes)
Code added date: 20230101
Code effective date: 20230101