CE HCPCS Level II modifier: 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…
CE is a HCPCS Level II modifier: “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….” It adds this detail to the code it is reported with.
Official description
CEAmcc 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
Short description: Med neces amcc tst sep reimb
HCPCS · United States
Medicare details
The indicators CMS publishes with CE in its October 2026 file. They describe Medicare’s handling, not another payer’s.
- Medicare coverage
- Special coverage instructions apply
- Added
- Jan 1, 2004
Where CE sits
- 1GroupHCPCS modifiers
- 2Modifier CEAmcc 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
Source and release
- Data release
- HCPCS Level II · October 2026
- Effective date
- Oct 1, 2026
- Publisher
- CMS
This page is built from the HCPCS Level II catalog that Vero Codes reads when it suggests codes: Centers for Medicare & Medicaid Services’s October 2026 release, imported from the publisher’s file and checked against it. The description, notes and structured data come from the same record.
Frequently asked questions
What does HCPCS code CE mean?
CE is the HCPCS code for “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” in CMS’s HCPCS Level II October 2026 release.
Where is CE in the HCPCS Level II list?
CE is listed under Modifiers.
Does Medicare cover CE?
CMS lists CE’s Medicare coverage as “Special coverage instructions apply”. Coverage and payment still depend on the patient, the setting, the documentation and the payer.
Which HCPCS Level II release does this page use?
It uses CMS’s October 2026 release, in effect from Oct 1, 2026 to Dec 31, 2026. It is a reference: confirm the code against the current list and the payer’s rules before you submit it.
Codes beside CE
All modifiersBRThe beneficiary has been informed of the purchase and rental options and has elected to rent the itemBUThe beneficiary has been informed of the purchase and rental options and after 30 days has not informed the supplier of his/her decisionCAProcedure payable only in the inpatient setting when performed emergently on an outpatient who expires prior to admissionCBService 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 reimbursableCCProcedure code change (use 'cc' when the procedure code submitted was changed either for administrative reasons or because an incorrect code was filed)CDAmcc test has been ordered by an esrd facility or mcp physician that is part of the composite rate and is not separately billableCFAmcc test has been ordered by an esrd facility or mcp physician that is not part of the composite rate and is separately billableCGPolicy criteria appliedCH0 percent impaired, limited or restrictedCIAt least 1 percent but less than 20 percent impaired, limited or restrictedCJAt least 20 percent but less than 40 percent impaired, limited or restrictedCKAt least 40 percent but less than 60 percent impaired, limited or restricted