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

P2038 Mucoprotein, blood (seromucoid) (medical necessity procedure) Code added date: 19860101 Code effective date: 19930101 TXT \| PDF \| XML \| JSON	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 TXT \| PDF \| XML \| JSON
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 TXT \| PDF \| XML \| JSON	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 TXT \| PDF \| XML \| JSON
M1471 Documentation that patient is a medicare fee-for-service beneficiary and without additional supplementary insurance coverage for whom hep b vaccination is not reimbursable under current medicare part b coverage rules Code added date: 20260101 Code effective date: 20260101 TXT \| PDF \| XML \| JSON	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 TXT \| PDF \| XML \| JSON
M1491 Receiving esrd mcp dialysis services by the provider during the performance period Code added date: 20260101 Code effective date: 20260101 TXT \| PDF \| XML \| JSON	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 TXT \| PDF \| XML \| JSON
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 TXT \| PDF \| XML \| JSON	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 TXT \| PDF \| XML \| JSON
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 TXT \| PDF \| XML \| JSON	G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total 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 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) Code added date: 20210101 Code effective date: 20230101 TXT \| PDF \| XML \| JSON
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 TXT \| PDF \| XML \| JSON	L5986 All lower extremity prostheses, multi-axial rotation unit ('mcp' or equal) Code added date: 19890101 Code effective date: 19960101 TXT \| PDF \| XML \| JSON