21385 $666.31 College of Surgeons as its primary source for determining if an assistant surgeon is clinically valid for a, CMS Manual SystemCMS Manual System . The identical code as the primary surgeon is not required in all situations. 1. Note: Non Physician Practitioner (NPP) or mid-level practitioner (PA, NP, CNS): Allowed equals 85% of surgical assist or 16% allowable, Inappropriate to bill AS modifier for physician surgical services, Inappropriate to append modifier 58 (staging) with assistant surgery. 21263 $1,835.15 References Assistant at surgery modifiers CMS Internet Only Manual (IOM) Reason & Remark Codes ; Acronyms and Glossary ; Calculators/Tools : External Resources; www.CMS.gov ; Assistant Surgeon Policy Oxford Health Plans. No fee schedules, basic unit, relative values or related listings are included in CDT. 21085 $393.00 20560, 20561, 33016, 46948, 62328, 62329, 64451, 64454, 64624, 64625 Some of the Provider information contained on the Noridian Medicare web site is copyrighted by the American Medical Association, the American Dental Association, and/or the American Hospital Association. 0000011635 00000 n This Agreement will terminate upon notice to you if you violate the terms of this Agreement. 21242 $973.65 %PDF-1.4 % An assistant surgeon actively assists the primary surgeon performing a surgical procedure. To license the electronic data file of UB-04 Data Specifications, contact AHA at (312) 893-6816. 21296 $367.98 You shall not remove, alter, or obscure any ADA copyright notices or other proprietary rights notices included in the materials. 21044 $817.33 Updated policy section for how assistant surgery claims are submitted. 21356 $337.00 endstream p20@ !| :F8 Last Updated Tue, 25 Oct 2022 15:20:49 +0000. You should also use Modifier AS when you need to indicate that a PA, When denying non-covered assistant at surgery services for HCPCS/CPT codes, Assistant Surgery Modifiers Medicare Fee Schedule, Payment Assistant surgery modifiers To report services of an assistant surgeon, the following surgical modifiers should be appended: 80 Assistant Surgeon: This modifier pertains to physicians services only. endobj B. <<4920F65ACFB5B2110A0060FF8C42FF7F>]/Prev 129922>> As for S2068, many payors who recognize this code generally do not recognize payment for an assistant or co-surgeon on the same code. Septal Defect and CPT-4 codes 33675 33677 (closure Reimbursement is not allowed for more than one assistant surgeon. No allowance is made for codes 64727 or 61712 (Microsurgery). Applications are available at the AMA Web site, https://www.ama-assn.org. 21175 $1,957.34 0000005658 00000 n 1 Modifiers" Current Procedural Terminology (CPT). If an assistant surgeon is utilized, allow the primary co-surgeons 50% of the allowed fee. 21348 $1,064.51 4. Review CPT codes for COVID-19 vaccines and immunizations. 21110 $459.00 Medicare Fee Schedule, Payment and Reimbursement Benefit Guideline, Medicare revalidation process how often provide need to do FAQ, Step by step Guide Medicare participation program. 21315 $181.00 Modifier 80, 81, 82: Denote assistant surgeons. 21337 $300.00 endobj 20937 $167.17 3 surg cardio. 21209 $571.00 Penalties vary based on the frequency and seriousness of the violation. Learn more about the process with the AMA. Were all CPT codes reviewed for Assistant-at-Surgery eligibility? endobj BCBS prefix Why its important to read correctly. Assistant surgeons' Fees Should Be Paid For Almost All , Assistant surgeons' fees should be paid for surgeon for these procedures has been found so indisputably necessary that Medicare and Medicaid pay nation-wide for an assistant surgeon for procedure codes: 28289 which lists all of the surgical CPT codes and indicates whether there is a , Assistant At Surgery (Modifiers 80/81/82/AS) Providers , Subject: Assistant at Surgery (Modifiers 80/81/82/AS) Effective Date: Services should be billed with CPT codes, reductions to the assistant surgeon in accordance with Louisiana Department of Health and Hospitals . 21179 $1,388.01 CPT-4. CPT-4. Using the American Medical Associations Current Procedural Terminology (CPT) codes from the 2018 manual, each participating organization reviewed new or revised codes since 2016 and any other codes of interest that are applicable to their specialty and indicated whether the operation requires a physician as an assistant with the following frequency: almost always, almost never, or some of the time. Tagged as: AMA Current Procedural Terminology, CPT codes, Physicians as Assistants at Surgery, specialty surgical organizations, Bulletin of the American College of Surgeons 20612 $54.93 The reimbursement amount is dependent upon the assistant surgeon modifier appended to the surgical code submitted. 20922 $504.00 15772, 15774 CPT codes 15772 and 15774 are exempt from the modifier 51 cutback. These materials contain Current Dental Terminology, (CDT), copyright 2020 American Dental Association (ADA). 20650 $171.00 Medicare physician fee schedule database (MPFSDB) assistant at surgery payment indicators. Obstetrical Billing & Multiple Birth Guidelines Quick Surgical Complications These services should be coded separately using CPT codes from the Surgery section of the CPT manual. HCPCS/CPT codes include all services usually performed as part of the procedure as a standard of medical/surgical practice. The global period for YYY procedures is defined by the Carrier (A/B MAC processing practitioner service claims). Reimbursement by Procedure Codes 20000 29999 Effective Jan. 1, 2015 Revenue Codes Requiring CPT or HCPCS Codes: CPCP018: 10/27/2022: View: Paravertebral Facet Injection Procedure Coding & Billing Policy: CPCP036: 12/22/2022: View: Pneumatic Compression Devices . x]n y Continue Reading. AMA CPT-4 codes, undergo revision by their governing entities on a regular basis. Evaluation and Management (E&M) Services Medicare Global Surgery Rules define the rules for reporting evaluation and management (E&M) services with procedures covered by these rules. Blue Cross Blue Shield of North Dakota is an independent licensee of the Blue Cross Blue Shield Association, serving residents and business in North Dakota. Please reach out and we would do the investigation and remove the article. 0000070634 00000 n 0000001846 00000 n 0000069971 00000 n 0000001757 00000 n <>stream 0000003025 00000 n When a surgeon is unavailable to serve as an assistant, a qualified surgical resident or other qualified health care professional, such as a nurse practitioner or physician assistant with experience in assisting, may participate in operations, according to the ACSStatements on Principles. CPT Code Reimbursement Assistant Surgeon Charges , Payment Of Assistant At Surgery Services In A Method II , (minimum assistant surgeon), or 82 (when qualified resident surgeon not available). %%EOF Reimbursement by Procedure Codes 20000 29999Effective Jan. 1, 2015 26 0 obj You now have the opportunity to claim CME credit for time spent reading the monthly Bulletin of the American College of Surgeons. This type of unbundling is incorrect coding. 474 0 obj <> endobj 20924 $481.17 Assistant Surgeon and Cesarean Sections Only a non-global cesarean section delivery code (CPT codes 59514 or 59620) is a reimbursable service when submitted with an appropriate assistant surgeon modifier. 20520 $135.00 Department of Health & Human . 0000007136 00000 n At any time, and for any lawful Government purpose, the government may monitor, record, and audit your system usage and/or intercept, search and seize any communication or data transiting or stored on this system. 21050 $800.65 "{kAsi_k|'|4 ,bBHc`vQ $\X(?q|NXYq_a}[|[aOQb`Rf,P`GY(](?O?z_. Administrative Code (TAC), Part 1 Administration, Part 15 Texas Health and Human Services Commission (HHSC), and Chapter 355 Reimbursement Rates. Assistant Surgeon/Assistant At Surgery Covered ProceduresAssistant Surgeon/Assistant at Surgery Covered Procedures system related to procedure codes allowed to be billed with either the 80 or AS modifier. 20900 $373.00 0000004210 00000 n All the articles are getting from various resources. *This list may not contain all Assistant Surgeon codes. B. Before you can enter the Noridian Medicare site, please read and accept an agreement to abide by the copyright rules regarding the information you find within this site. 21138 $859.11 This modifier describes an assistant surgeon providing full assistance to the primary surgeon, and is not intended for use by non-physician providers. Any questions pertaining to the license or use of the CDT should be addressed to the ADA. 21082 $1,383.00 registered for member area and forum access, https://www.cms.gov/apps/physician-fee-schedule/search/search-results.aspx?Y=0&T=1&HT=0&H1=69990&M=5, https://www.cms.gov/apps/physician-fee-schedule/search/search-criteria.aspx, http://www.cms.gov/Medicare/Coding/ect=/NationalCorrectCodInitEd/NCCIEP/list.asp, http://www.cms.gov/Outreach-and-Edus/downloads/How_to_MPFS_Booklet_ICN901344.pdf, https://www.novitas-solutions.com/partb/reimbursement/mfsdbhelp.html, https://www.noridianmedicare.com/partb/fees/docs/2013/2013_mpfs_indicator_descriptors.pdf. The below table identified procedure codes that are not eligible for reimbursement when reported by an Assistant Surgeon. 20982 $3,772.65 21270 $833.21 Therefore, you have no reasonable expectation of privacy. For U.S. Government and other information systems, information accessed through the computer system is confidential and for authorized users only. Issue briefs summarize key health policy issues by providing concise and digestible content for both relevant stakeholders and those who may know little about the topic. 2023 Blue Cross Blue Shield of North Dakota, Please wait while your form is being submitted, Directory Validation Instructions (No Surprises Act), Recredentialing & Credentialing Applications, Multiple Procedures Payment Reduction for Medical and Surgical Services Reimbursement Policy, CPT (Current Procedural Terminology) | AMA, Routine claim editing logic, including but not limited to incidental or mutually exclusive logic, and medical necessity. In general, represented by concurrent CPT codes with indicator 2 designation. 61 0 obj LICENSE FOR USE OF "PHYSICIANS' CURRENT PROCEDURAL TERMINOLOGY", (CPT) Assistant surgeons submit procedure code (s), with the appropriate modifier appended (80, 81, 82, or AS) to represent their service (s). If no assistant surgeon is involved, allow 60% of the allowed procedure fee for each surgeon. 21230 $724.83 20605 $50.31 Download AMA Connect app for CPT Codes, Descriptors, and other data only are copyright 1999 American Medical Association (or such other date of publication of CPT). CMS takes big steps to fix prior authorization in Medicare Advantage and more in the latest Advocacy Update spotlight. 20525 $301.00 Learn more. Code surg cardio. However, those general guidelines from Chapter I not discussed in this Chapter are nonetheless applicable. Those where the assistant surgeon concept does not apply (Indicator 9). Reimbursement by Procedure Codes 20000 29999 Effective Jan. 1, 2015 0000000016 00000 n These rates are provided for informational purposes only and are not to be considered a guarantee of payment. Warning: you are accessing an information system that may be a U.S. Government information system. Medicares policies on billing patients in excess of the Medicare allowed amount apply to assistant-at-surgery services. 1 = Statutory payment restriction for assistants at surgery applies to this procedure. 21339 $637.00 Continue Reading. By continuing beyond this notice, users consent to being monitored, recorded, and audited by company personnel. Up Next. The 2018 report adds 93 codes that the CPT Editorial Panel has approved since the last report was issued in 2016. 20102 $286.00 0000001364 00000 n ), 80 Modifier: PAs, APNs, and CRNFAs who are billing with their own National Provider Identifier (NPI) will not need to bill a modifier, unless they are billing as an Assistant Surgeon, then they must use the 80 modifier. Learn more with the AMA. <> 21122 $627.00 You agree to take all necessary steps to ensure that your employees and agents abide by the terms of this agreement. Resource. Assistant Surgeon/Assistant At Surgery Covered Procedures, Assistant Surgeon/Assistant at Surgery Covered Procedures system related to procedure codes allowed to be billed with either the 80 or AS modifier. List. Code surg cardio. 2 The assistant surgeon may be paid. 20005 $252.00 20551 $54.25 BCBSND retains the right to review and update its reimbursement policy guidelines at its sole discretion. Up Next. A physician should not report multiple HCPCS/CPT codes if a single HCPCS/CPT code exists that describes the services. %PDF-1.7 0000017177 00000 n We want to help physicians, facilities and other health care professionals submit claims accurately. On June 30, 2009, within the post-op period of the cataract removal surgery, a YAG laser capsulotomy (CPT code 66821) was performed on the right eye. Another surgeon. `[ELd}CGa= F(!V: =Q 0VB5 W5*WuU}8-cPZ99%t/50 A physician should not report multiple HCPCS/CPT codes if a single HCPCS/CPT code exists that describes the services. Assistant at surgery may not be paid. 0000003145 00000 n 0000006934 00000 n The global concept does not apply to XXX procedures. 0000003562 00000 n If this is your first visit, be sure to check out the. if(pathArray[4]){document.getElementById("usprov").href="/web/"+pathArray[4]+"/help/us-government-rights";} 21084 $1,656.94 Explore reports on this topic from the Council on Medical Education presented during the AMA Interim and Annual Meetings. CPT Codes, Descriptors, , Surgery: Cardiovascular System (surg Cardio)Reimbursable for a second assistant surgeon. Reimbursement for a second assistant surgeon is allowed. CPT 91311, 0111A, 0112A Covid Vaccine for children, 5 Important points to improve claim submission success rate. 2 = Payment restrictions for assistants at surgery does not apply to this procedure. Chicago, IL 60611. NDC code must follow the 11-digit billing format with no spaces, hyphens or special characters in the number. Confidential, These rates are provided for informational purposes only and are not to be considered a guarantee of payment.Actual payment will be based on Health Options policies, procedures, and Customer Benefit Plans. 20550 $55.36 The Medicaid rates for ASCs are calculated in . The assistant at surgery payment indicator describes when assistant at surgery may be paid or not. 1, 10-01-03) B3-15044 state: For assistant at surgery services performed by physicians, the fee schedule amount equals 16 percent of the amount otherwise applicable for the global surgery. A TAR is required for the primary surgeon and assistant surgeon services are not reimbursable. However, those general guidelines from Chapter I not discussed in this Chapter are nonetheless applicable. Department of Health & Human . 20824 $2,166.45 21121 $603.00 2. 20101 $238.00 Assistant surgeons should bill the same CPT surgical procedure codes as the primary surgeon with either modifier "80" or "82." Assistant surgeons are reimbursed at a percentage of the allowed amount for primary surgeons. 0000005150 00000 n NOTE: Physicians acting as assistants cannot bill as co-surgeons. <<77F8C580A035DD40AD1E242153D192BE>]>> Current Procedural Terminology (CPT) codes provide a uniform nomenclature for coding medical procedures and services. Assistant Surgeon Charges , Payment Of Assistant At Surgery Services In A Method II (minimum assistant surgeon), or 82 (when qualified resident surgeon not available). 3 0 obj If you choose not to accept the agreement, you will return to the Noridian Medicare home page. Evaluation & Management, Medicine, Physical Therapy. Accordingly, pay claims for procedures with these modifiers only if the services of an assistant-at-surgery are authorized. 0000007696 00000 n CPT Level I codes & modifiers HCPCS Level II codes & modifiers CDT CPT Assistant +Archives AHA Coding , CPT Codes And Fees: 2015 CPT Codes North CarolinaCPT Codes and Fees: 2015 CPT Codes. CPT has responded by adding six new codes to report online digital evaluation services, or e-visits. 21199 $950.84 4510 13th Ave. S. Fargo, N.D., 58121. This warning banner provides privacy and security notices consistent with applicable federal laws, directives, and other federal guidance for accessing this Government system, which includes all devices/storage media attached to this system. <>stream (revenue codes 96X, Modifier 80 (assistant surgeon), 81 (minimum assistant surgeon), or 82 , Modifiers 80, 81, 82, AS; Assistant At Surgery Medicare 81, 82, AS; Assistant at Surgery Medicare Advantage; Table of contents; Modifiers 80, 81, 82, AS; Assistant at Surgery Medicare Assistant surgeon may be paid with documentation supporting medical necessity. Users must adhere to CMS Information Security Policies, Standards, and Procedures. Note: This modifier is used in the private insurance industry and is not commonly used in Medicare billing. Note: BCBSND updates codes quarterly when made available by CMS and the American Medical Association (AMA). Subject to the terms and conditions contained in this Agreement, you, your employees, and agents are authorized to use CDT only as contained in the following authorized materials and solely for internal use by yourself, employees and agents within your organization within the United States and its territories. 21011 $304.00 0 CPT Codes Requiring Modifier Health Services Department (650 , CPT Codes Requiring Modifier Health Services Department (650) "Each Additional" Codes Primary surgeons should not bill primary surgeon codes 15000, 61712 (assistant surgeon) and multiple surgical procedures identified by, How To Report Co-Surgeons And Assistant Surgeon Modifiers, surgeries require the expertise of more than one surgeon or may require the assistance of another surgeon to ensure adequate care is given and the surgery is a success. CPT Code Reimbursement All procedures on the Medicare Physician Fee Schedule are assigned a global period of 000, 010, 090, XXX, YYY, ZZZ, or MMM. List. 33 0 obj Physicians who knowingly and willfully violate this prohibition and bill a . 0000000016 00000 n 0000023372 00000 n Treatment Description. 21100 $270.00 The scope of this license is determined by the ADA, the copyright holder. endobj (Modifier AS to be used ONLY if they assist at surgery), SA Modifier: A supervising physician should use this modifier when billing on behalf of a PA, APN, of CRNFA for non-surgical services. Medical CPT codes are critical to streamlining reporting and increasing accuracy and efficiency, as well as for administrative purposes such as claims processing and developing guid .Read More Related Topic: CPT Catalog of Topics How to TRANSITIONING/TRANSFERRING OF ENROLLEES to MCO, What is Patient driven Grouping model how its working, Workers Compensation Medicare Set-Aside Arrangement (WCMSA) Full coverage, Understanding Medicare cost Reports and usage. CPT/HCPCS CPT/HCPCS CPT . The circumstance explaining that a resident surgeon was not available must be documented in the medical record. The Assistant Surgeon Eligible List is developed based on the Centers for Medicare and Medicaid Services. 20205 $238.00 0000004022 00000 n 21150 $1,586.39 Find information about CPT Category I Vaccine Codes. Resource. All Rights Reserved. 0000005617 00000 n 0000069315 00000 n 20816 $2,022.11 0000069701 00000 n Medicare considers advanced registered nurse practitioner (ARNP), physician assistant (PA), and clinical nurse specialist (CNS) as non-physician practitioners. 0000002477 00000 n Android, The best in medicine, delivered to your mailbox. Mandated or legislative required criteria will always supersede. 21360 $490.80 0000004680 00000 n ADA DISCLAIMER OF WARRANTIES AND LIABILITIES. This section summarizes some of the rules. The Medicaid rates for ambulance services are calculated in accordance with 1 TAC 355.8600. Those where the assistant surgeon concept does not apply (Indicator 9). 21120 $457.00 startxref Assistant surgeon CPT codes Medical Billing CPT ModifiersAssistant surgeon CPT codes not covered list 3000 39400 30000 procedure codes that are "Nevers" for assistant surgeon. The AMA develops and manages CPT codes on a rigorous and transparent process led by the CPT Editorial Panel, which ensures codes are issued and updated regularly to reflect current clinical practice and innovation in medicine. 4/2022. 20975 $170.86 Get timely provider information including policy, benefits, coding or billing updates, education, and moredelivered directly to your email. The ADA does not directly or indirectly practice medicine or dispense dental services. 21282 $322.17 startxref 20827 $1,844.00 The AMA is a third-party beneficiary to this license. <>stream In some cases, the service the physician provides may not meet the documentation requirements for the lowest level initial hospital visit (99221). The below table identified procedure codes that are not eligible for reimbursement when reported by an Assistant Surgeon. A HCPCS/CPT code should be reported only if all services described by the code are performed. The unavailability of a qualified resident surgeon is a prerequisite for use of this modifier and the service must have been performed in a teaching facility. Drive in style with preferred savings when you buy, lease or rent a car. If there is more than one . 5. 21365 $1,028.43 20693 $430.00 % The AMA promotes the art and science of medicine and the betterment of public health. Assistant Special Edition: December Update (2020) in which vaccine product code 91302 (AstraZeneca, two dose vaccine) was established with its corre-sponding administration codes (0021A, 0022A). The AMA does not directly or indirectly practice medicine or dispense medical services. Because in the coding world, you know add-on codes should only be paid if the parent code is paid. License to use CDT for any use not authorized herein must be obtained through the American Dental Association, 211 East Chicago Avenue, Chicago, IL 60611. All codes in the CMS PFS RVU File with the status indicator 2 for Assistant at Surgery are reimbursable for assistant at surgery services, when indicated by an assistant surgeon modifier (80, 81, 82, or AS). CMS Disclaimer 21206 $1,019.00 else{document.getElementById("usprov").href="/web/"+"jeb"+"/help/us-government-rights";}, Advance Beneficiary Notice of Noncoverage (ABN), Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS), Medicare Diabetes Prevention Program (MDPP), Diabetic, Diabetes Self-Management Training (DSMT) and Medical Nutrition Therapy (MNT), Fee-for-Time Compensation Arrangements and Reciprocal Billing, Independent Diagnostic Testing Facility (IDTF), Documentation Requests: How, Who and When to Send, Medical Documentation Signature Requirements, Supplemental Medical Review Contractor (SMRC), Unified Program Integrity Contractor (UPIC), Provider Outreach and Education Advisory Group (POE AG), PECOS and the Identity and Access Management System, Provider Enrollment Reconsiderations, CAPs, and Rebuttals, CMS Internet Only Manual (IOM), Publication 100-04, Medicare Claims Processing Manual, Chapter 12, Section 20.4.3, click here to see all U.S. Government Rights Provisions, American Hospital Association Online Store, Assist-at-surgery allowed with appended modifiers 80, 81, or 82, Allowed = 16% of surgery fee schedule allowable. Services (DHHS) Pub 100-04 Medicare Claims . 20972 $2,240.70 0000031389 00000 n This system is provided for Government authorized use only. 21015 $403.66 81 Minimum Assistant Surgeon &*_Km/@T9 xa6|I/ZUS(X6N*~v]zw' NF_=T\QwcQ 21183 $2,130.34 o%{W xBb]OaNiKK3w8@l#qSJ!K0EJH0qlP|l`I"|4s?-+Mqg5AhA QoB{O. Any questions pertaining to the license or use of the CPT must be addressed to the AMA. 31 0 obj 21143 $1,270.64 These rates are provided for informational purposes only and are not to be considered a guarantee of payment. LICENSE FOR NATIONAL UNIFORM BILLING COMMITTEE ("NUBC"), Point and Click American Hospital Association Copyright Notice, Copyright 2021, the American Hospital Association, Chicago, Illinois. L0Wf4hjKUS6lP?|'At}_b?]M3OA&"e'MIHF2{g(qiFT{YVd)l- a6pyJR?R$dXmmcP>88iE'EWrME!DI, $4wNEKbpjZfY\/J "N7XD-q.&qVk\=Dv0 Actual payment will be based on Health Options policies, procedures, and Customer Benefit Plans. The principles of correct coding discussed in Chapter I apply to the CPT codes in the range 20000-29999. 20970 $2,681.13 30 0 obj (Examples: Obstetrical Billing & Multiple Birth Guidelines Quick Reference Guide . 20696 $1,001.78 0000009629 00000 n 43846 80 . 60000 procedure codes that are "Nevers" for assistant surgeon The below table identified procedure codes that are not eligible for reimbursement when reported by an Assistant Surgeon. 20240 $200.00 For a better experience, please enable JavaScript in your browser before proceeding. Assistant at surgery may be paid. 20912 $457.99 <>/Rotate 0/Type/Page>> 1 0 obj 0 VP 3P X This product includes CPT which is commercial technical data and/or computer data bases and/or commercial computer software and/or commercial computer software documentation, as applicable which were developed exclusively at private expense by the American Medical Association, 515 North State Street, Chicago, Illinois, 60610. Medical CPT codes are critical to streamlining reporting and increasing accuracy and efficiency, as well as for administrative purposes such as claims processing and developing guid. 21243 $1,543.00 20150 $850.85 0000001493 00000 n 20220 $168.00 %%EOF Pathology and Laboratory. 4 0 obj 21083 $1,358.00 0000070377 00000 n which insurance is primary. (Examples: Obstetrical Billing & Multiple Birth Guidelines Quick Reference Guide . Several general guidelines are repeated in this Chapter. 25 37 21154 $2,034.89 0000004728 00000 n e!l8aMlymM]|N^"o@sP+y~fj_WsAls hxh1iM)m O#t0@_]!=ip<4hr] 4(t"yLgn``t0PbaKJ]/,9^eFib|Jze s}Z,6$|jjE8y~w `A'7MRzs!Qa/_}$ ?@rS0H@Xt{w_VUQ"(,1N#b This regulatory myth examines if physicians should bill for both preventive/wellness and evaluation and management (E/M) services when they are performed during the same visit. Reimbursement by Procedure Codes 20000 29999 Effective Jan. 1, 2015, These rates are provided for informational purposes only and are not to be considered a guarantee of payment. Gastric Bypass for Morbid Obesity. Example 2: Right cataract extraction (CPT code 66984) was performed on May 1, 2009. <> The AMA disclaims responsibility for any consequences or liability attributable to or related to any use, non-use, or interpretation of information contained or not contained in this file/product. <> If fee schedule indicator lists a procedure as not usually payable, justification for the necessity of an assistant surgeon must be documented in your report to receive payment. 21335 $686.65 See Column A indicates if assistant at surgery allowed/not allowed. 0000069053 00000 n Think of the AMA as your ally while preparing for the USMLE and COMLEX-USA. 21196 $1,362.35 var pathArray = url.split( '/' ); Sleep Apnea A Sleep Disorder That Can Be Fatal, How to Study for Surgical Tech Certification.