Med neces amcc tst sep reimb
Full descriptor
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
Details
- Code
- CE
- Short descriptor
- Med neces amcc tst sep reimb
- Code set
- HCPCS Modifiers
- Release
- July 2026
- Status
- Active
- Added
- Jan 1 2004
Nearby codes
Code sets are published in blocks, so neighbours are usually related.
Procedure payable inpatient
Esrd bene part a snf-sep pay
Procedure code change
Amcc test for esrd or mcp md
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.