| New |
| Code |
Description |
| CH |
0 percent impaired, limited or restricted |
| CI |
At least 1 percent but less than 20 percent impaired, limited or restricted |
| CJ |
At least 20 percent but less than 40 percent impaired, limited or restricted |
| CK |
At least 40 percent but less than 60 percent impaired, limited or restricted |
| CL |
At least 60 percent but less than 80 percent impaired, limited or restricted |
| CM |
At least 80 percent but less than 100 percent impaired, limited or restricted |
| CN |
100 percent impaired, limited or restricted |
| LM |
Left main coronary artery |
| RI |
Ramus intermedius coronary artery |
| L1 |
Provider attestation that the hospital laboratory test(s) is not packaged under the hospital opps |
| PO |
Services, procedures and/or surgeries provided at off-campus provider-based outpatient departments |
| SZ |
Habilitative services |
| XE |
Separate encounter, a service that is distinct because it occurred during a separate encounter |
| XP |
Separate practitioner, a service that is distinct because it was performed by a different practitioner |
| XS |
Separate structure, a service that is distinct because it was performed on a separate organ/structure |
| XU |
Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service |
| MA |
Ordering professional is not required to consult a clinical decision support mechanism due to service being rendered to a patient with a suspected or confirmed emergency medical condition |
| MB |
Ordering professional is not required to consult a clinical decision support mechanism due to the significant hardship exception of insufficient internet access |
| MC |
Ordering professional is not required to consult a clinical decision support mechanism due to the significant hardship exception of electronic health record or clinical decision support mechanism vendor issues |
| MD |
Ordering professional is not required to consult a clinical decision support mechanism due to the significant hardship exception of extreme and uncontrollable circumstances |
| ME |
The order for this service adheres to appropriate use criteria in the clinical decision support mechanism consulted by the ordering professional |
| MF |
The order for this service does not adhere to the appropriate use criteria in the clinical decision support mechanism consulted by the ordering professional |
| MG |
The order for this service does not have applicable appropriate use criteria in the qualified clinical decision support mechanism consulted by the ordering professional |
| MH |
Unknown if ordering professional consulted a clinical decision support mechanism for this service, related information was not provided to the furnishing professional or provider |
