Procedure payable inpatient
Full descriptor
Procedure payable only in the inpatient setting when performed emergently on an outpatient who expires prior to admission
Details
- Code
- CA
- Short descriptor
- Procedure payable inpatient
- Code set
- HCPCS Modifiers
- Release
- July 2026
- Status
- Active
- Added
- Jan 1 2003
Nearby codes
Code sets are published in blocks, so neighbours are usually related.
Esrd bene part a snf-sep pay
Procedure code change
Amcc test for esrd or mcp md
Med neces amcc tst sep reimb
Amcc tst not composite rate
Policy criteria applied
0 percent impaired, ltd, res
1 to <20 percent impaired
Sources
- CMS HCPCS Modifiers — July 2026, public domain
Reference information only. Not billing advice. Verify against the payer before you file.