cpt codes that allow assistant surgeon 2020

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All procedures on the Medicare Physician Fee Schedule are assigned a global period of 000, 010, 090, XXX, YYY, ZZZ, or MMM. You, your employees and agents are authorized to use CPT only as contained in the following authorized materials: Local Coverage Determinations (LCDs), training material, publications, and Medicare guidelines, internally within your organization within the United States for the sole use by yourself, employees and agents. Answer: Most payors will not reimburse 3 providers (2 co-surgeons and 1 assistant) on the same CPT code, 19364. Medicare considers advanced registered nurse practitioner (ARNP), physician assistant (PA), and clinical nurse specialist (CNS) as non-physician practitioners. Unauthorized or illegal use of the computer system is prohibited and subject to criminal and civil penalties. Medicare does not recognize a registered nurse first assistant (RNFA) as a qualified Medicare provider. 0000005394 00000 n The global concept does not apply to XXX procedures. 0000068681 00000 n Assistant at surgery may be paid. endobj 0000011635 00000 n 20605 $50.31 However, those general guidelines from Chapter I not discussed in this Chapter are nonetheless applicable. 21244 $959.84 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 3. Applications are available at the AMA Web site, https://www.ama-assn.org. 0000005617 00000 n Some modifiers can only be used with a particular category and some are not compatible with others. 21154 $2,034.89 The circumstance explaining that a resident surgeon was not available must be documented in the medical record. Users must adhere to CMS Information Security Policies, Standards, and Procedures. CPT Codes, Descriptors, and other data only are copyright 1999 American Medical Association (or such other date of publication of CPT). First Assistant Not Payable Under Medicare for 2017 Page 2. Up Next. $hdzG@x&w9|!t$L\>~cohW?`/`Gs^!f&Y=3GAr~$$~~>~Va O 21086 $1,795.27 List. 0000007136 00000 n 2. Up Next. 20957 $2,307.53 21142 $1,243.31 You may also contact AHA at ub04@healthforum.com. Here you'll find the AMA's latest updates on new CPT codes, code proposals and revisions, CPT code reimbursement and more. The identical code as the primary surgeon is not required in all situations. 0000011084 00000 n 81 Assistant Surgeon: This modifier pertains to physicians services only. These materials contain Current Dental Terminology, (CDT), copyright 2020 American Dental Association (ADA). 4/2022. An additional 16% will be allowed to the assistant surgeon if criteria for assistant surgeon services . 20000 21249 23655 25259 26416 27060 27686 28200 29105, 20005 21280 23665 25260 26418 27062 27695 28208 29125, 20101 21282 23675 25270 26426 27086 27696 28220 29126, 20103 21295 23700 25272 26428 27093 27704 28222 29130, 20200 21296 23921 25274 26432 27095 27707 28225 29131, 20205 21310 23930 25275 26433 27096 27726 28226 29200, 20206 21315 23931 25280 26437 27175 27730 28230 29220, 20220 21320 23935 25290 26440 27185 27732 28232 29240, 20225 21325 24000 25295 26442 27193 27734 28234 29260, 20240 21330 24065 25337 26445 27194 27750 28240 29280, 20245 21335 24066 25450 26449 27200 27752 28270 29305, 20500 21336 24075 25455 26450 27220 27760 28272 29325, 20501 21337 24076 25500 26455 27222 27762 28280 29345, 20520 21338 24077 25505 26460 27230 27766 28285 29355, 20525 21345 24105 25520 26471 27232 27767 28286 29358, 20526 21355 24110 25530 26476 27235 27768 28288 29365, 20550 21356 24120 25535 26477 27238 27769 28289 29405, 20551 21400 24130 25560 26478 27240 27780 28290 29425, 20552 21421 24136 25565 26480 27246 27781 28307 29435, 20553 21440 24145 25600 26489 27250 27784 28309 29440, 20555 21450 24147 25605 26490 27252 27786 28310 29445, 20600 21451 24153 25606 26496 27256 27788 28312 29450, 20605 21452 24160 25622 26500 27257 27792 28313 29505, 20610 21453 24164 25624 26508 27265 27808 28315 29515, 20612 21454 24200 25630 26510 27266 27810 28344 29520, 20615 21480 24201 25635 26516 27275 27816 28345 29530, 20650 21485 24220 25650 26520 27301 27818 28400 29540, 20660 21497 24300 25651 26525 27307 27824 28405 29550, 20661 21501 24305 25652 26535 27323 27825 28406 29580, 20662 21510 24310 25660 26536 27324 27830 28430 29581, 20663 21550 24332 25671 26540 27327 27831 28435 29590, 20664 21555 24357 25675 26542 27328 27840 28436 29700, 20665 21556 24358 25680 26545 27330 27842 28450 29705, 20670 21800 24359 25690 26548 27340 27860 28455 29710, 20680 21805 24495 25900 26567 27370 27882 28456 29715, 20690 21820 24500 25920 26591 27372 27884 28470 29720, 20693 21920 24505 25927 26593 27391 27886 28475 29730, 20694 21925 24530 25931 26600 27425 27889 28476 29740, 20910 21930 24535 26010 26605 27437 27892 28490 29750, 20912 21935 24538 26011 26607 27475 27893 28495 29800, 20920 22010 24560 26020 26608 27477 28001 28496 29805, 20926 22015 24565 26025 26615 27485 28002 28505 29819, 20930 22305 24566 26030 26641 27496 28003 28510 29830, 20931 22310 24576 26034 26645 27497 28005 28515 29838, 20950 22315 24577 26035 26650 27500 28008 28525 29840, 20974 22505 24582 26037 26665 27501 28010 28530 29846, 20979 22520 24600 26040 26670 27502 28011 28531 29848, 20982 22521 24605 26045 26675 27503 28020 28540 29850, 20985 22522 24620 26055 26676 27508 28022 28545 29870, 20986 22523 24640 26060 26685 27509 28024 28546 29871, 20987 22524 24650 26070 26700 27510 28035 28570 29873, 21010 22525 24655 26075 26705 27516 28041 28575 29874, 21025 22526 24670 26080 26706 27517 28043 28576 29875, 21026 22527 24675 26100 26715 27520 28045 28600 29876, 21029 23030 24935 26105 26720 27530 28046 28605 29877, 21030 23031 25000 26110 26725 27532 28050 28606 29879, 21031 23044 25001 26115 26727 27538 28052 28630 29880, 21032 23065 25020 26116 26735 27550 28054 28635 29881, 21040 23066 25023 26117 26740 27552 28055 28636 29886, 21046 23075 25024 26121 26742 27560 28060 28660 29891, 21050 23076 25025 26123 26746 27562 28062 28665 29892, 21070 23101 25028 26125 26750 27570 28070 28666 29893, 21073 23106 25031 26130 26755 27594 28072 28675 29900, 21076 23130 25035 26135 26756 27596 28080 28755 29901, 21077 23140 25040 26140 26765 27600 28088 28805 29902, 21079 23146 25065 26145 26770 27601 28090 28810, 21080 23170 25066 26160 26775 27603 28092 28820, 21081 23180 25075 26170 26776 27604 28108 28825, 21082 23330 25076 26180 26785 27605 28110 28890, 21083 23350 25100 26200 26841 27606 28111 29000, 21084 23415 25101 26205 26850 27607 28112 29010, 21085 23480 25105 26210 26860 27610 28113 29015, 21086 23500 25109 26215 26861 27613 28119 29020, 21087 23505 25110 26230 26910 27614 28120 29025, 21088 23520 25111 26235 26951 27618 28124 29035, 21100 23525 25112 26236 26952 27619 28126 29040, 21110 23540 25118 26250 26990 27630 28140 29044, 21116 23545 25120 26320 26991 27635 28150 29046, 21120 23570 25130 26340 26992 27640 28153 29049, 21208 23575 25150 26350 27000 27641 28160 29055, 21210 23600 25210 26356 27040 27648 28173 29058, 21215 23605 25230 26370 27041 27652 28175 29065, 21230 23620 25240 26410 27043 27664 28190 29075, 21235 23625 25246 26412 27047 27680 28192 29085, 21248 23650 25248 26415 27050 27681 28193 29086, CPT modifiers 25 Usage example and most asked question where and when to use, does Modifiers affecting payment and reimbusement, Important Modifiers with definition and when to use, Most asked question on Modifier 50, 59, 79, CPT CODE 80050, 80053, 84443 Comprehensive Metabolic Panel, CPT 59400 Obstetrical care (antepartum, delivery, and postpartum care), ESOPHAGOGASTRODUODENOSCOPY EGD CPT CODE LIST 43239, 43235 ,43244, 43245, COBRA Qualifying Events , coverage, definitions and Premiums, CPT code 99211 Billing Guide, office visit documentation, Medicare CPT code G0444, 99420 covered ICD and frequency, CPT 97140, 97530, 97112, 97760, 97750 Therapeutic procedure, CPT 95921 , 95922- 95943 Autonomic function tes. All rights reserved. NOTE: Physicians acting as assistants cannot bill as co-surgeons. Residents and fellows deciding on a practice setting should be armed with all the relevant details. A physician should not report multiple HCPCS/CPT codes if a single HCPCS/CPT code exists that describes the services. If a physician appends modifier AS to procedure codes for which he/she acted as assistant at surgery, these codes will be denied (see above for modifiers that should be used by physicians). Please note, the terms of a customer's particular benefit plan document [Group Service Agreement, Evidence of Coverage, Certificate of Coverage, Summary Plan Description (SPD) or similar plan document] may differ significantly from the standard benefit plans upon which these policies are based. 0000008064 00000 n 0000076514 00000 n 0000004776 00000 n 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. 21048 $965.00 Patient has WC and Medicare insurance? All our content are education purpose only. 0000031389 00000 n Officials and members gather to elect officers and address policy at the 2023 AMA Annual Meeting being held in Chicago, June 9-14, 2023. Certain state contracts restrict benefits. By continuing beyond this notice, users consent to being monitored, recorded, and audited by company personnel. Modifier 80 is appended to the surgical code when another surgeon is assisting at surgery. 20552 $50.96 IF YOU ARE ACTING ON BEHALF OF AN ORGANIZATION, YOU REPRESENT THAT YOU ARE AUTHORIZED TO ACT ON BEHALF OF SUCH ORGANIZATION AND THAT YOUR ACCEPTANCE OF THE TERMS OF THESE AGREEMENTS CREATES A LEGALLY ENFORCEABLE OBLIGATION OF THE ORGANIZATION. CPT/Modifier. 0000004920 00000 n Surgeon who performed surgery (s) with two or more other surgeons; all surgeons must add CPT Modifier 66 to the surgical procedure Procedure codes that have a TEAM 1 or 2 indicator on the MPFSDB must be submitted with supporting documentation CPT Modifier 80 Assistant Surgeon (Physician). *This list may not contain all Assistant Surgeon codes. Per fee schedule indicator, descriptor 2 = payment restriction for assistants at surgery does not apply to this procedure. Included are treatment for Hansen's Disease, pulmonary . Find information about CPT Category I Vaccine Codes. 0000030598 00000 n 31 0 obj 20102 $286.00 endobj This modifier is not intended for use by non-physician providers. AMA CPT-4 codes, undergo revision by their governing entities on a regular basis. No fee schedules, basic unit, relative values or related listings are included in CDT. Organizations that collaborated with the ACS to conduct the study include the American Academy of Ophthalmology, the American Academy of Orthopaedic Surgeons, the American Academy of OtolaryngologyHead and Neck Surgery, the American Association of Neurological Surgeons, the American Pediatric Surgical Association, the American Society of Colon and Rectal Surgeons, the American Society of Plastic Surgeons, the American Society of Transplant Surgeons, the American Urological Association, the Congress of Neurological Surgeons, the Society for Surgical Oncology, the Society for Vascular Surgery, the Society of American Gastrointestinal Endoscopic Surgeons, the American College of Obstetricians and Gynecologists, and the Society of Thoracic Surgeons. 21296 $367.98 These rates are provided for informational purposes only and are not to be considered a guarantee of payment. Note: The information obtained from this Noridian website application is as current as possible. 21123 $818.00 These rates are provided for informational purposes only and are not to be considered a guarantee of payment. 0000069315 00000 n 21256 $1,089.96 Example 2: Right cataract extraction (CPT code 66984) was performed on May 1, 2009. Treatment Description. All the articles are getting from various resources. %%EOF Providers must list this code separately in addition to the code for the primary procedure. 21339 $637.00 Procedure codes with a CMS assistant surgeon indicator of "2" are eligible for assistant surgeon reimbursement. 21195 $1,240.00 21336 $438.00 Note: BCBSND updates codes quarterly when made available by CMS and the American Medical Association (AMA). 0000003488 00000 n 21325 $333.00 This article introduces the Janssen single dose vaccine code (91303) and its associated administration code (0031A). Medicare reimburses services rendered for assistant at surgery by a physician performing as a surgical assistant at 16 percent of the MPFS amount. 20975 $170.86 Any questions pertaining to the license or use of the CDT should be addressed to the ADA. 0000009465 00000 n <> If multiple services are submitted with modifiers indicating assistants at surgery, each service is independently reviewed (based on the above-listed indicators) to determine payment. Medicare's policies on billing patients in excess of the Medicare allowed amount apply to assistant-at-surgery services. 21030 $394.00 Surgery: Cardiovascular System 1. The below table identified procedure codes that are not eligible for reimbursement when reported by an Assistant Surgeon. 81 Minimum Assistant Surgeon 0000004509 00000 n CMS WILL NOT BE LIABLE FOR ANY CLAIMS ATTRIBUTABLE TO ANY ERRORS, OMISSIONS, OR OTHER INACCURACIES IN THE INFORMATION OR MATERIAL COVERED BY THIS LICENSE. 61 0 obj 0000004728 00000 n 0000001036 00000 n If you find anything not as per policy. 118. 0000015666 00000 n 0000005463 00000 n 20610 $59.00 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. 20930 $200.00 20550 $55.36 21141 $1,251.79 What Patients Can Learn From Current CPT Codes. 1 The assistant surgeon may not be paid. 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. The outcome is to submit CPT modifier 78 with CPT . 21025 $607.00 The assistant at surgery procedure code eligible list is developed based on The Center for Medicare & Medicaid Services (CMS) Physician Fee Schedule (PFS) Relative Value Unit (RVU) File status indicators. <> The Medicaid rates for ASCs are calculated in . ADA DISCLAIMER OF WARRANTIES AND LIABILITIES. 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. 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. For Medicare purposes, modifiers are two-digit codes that may consist of alpha and/or numeric characters, which may be appended to Healthcare Common Procedure Coding System (HCPCS) procedure codes to provide additional information needed to process a claim. 29 0 obj 20664 $581.00 21346 $844.00 HCPCS/CPT codes include all services usually performed as part of the procedure as a standard of medical/surgical practice. endstream Note: Multiple procedure reductions may apply if an assistant at surgery submits multiple procedure codes. 0000034523 00000 n If you choose not to accept the agreement, you will return to the Noridian Medicare home page. Procedures with a global period of MMM are maternity procedures. The responsibility for the content of this file/product is with Noridian Healthcare Solutions or the CMS and no endorsement by the AMA is intended or implied. THE LICENSES GRANTED HEREIN ARE EXPRESSLY CONDITIONED UPON YOUR ACCEPTANCE OF ALL TERMS AND CONDITIONS CONTAINED IN THESE AGREEMENTS. 0000031829 00000 n 0000004210 00000 n Learn more with the AMA. 21116 $24.83 21085 $393.00 Physicians who knowingly and willfully violate this prohibition and bill a . Resource. When denying non-covered assistant at surgery services for HCPCS/CPT codes with a payment policy indicator of "'0" (Payment restriction for assistants at surgery applies to this procedure unless supporting documentation is submitted to establish medical necessity) or "2" (Payment restrictions for assistants at surgery does not apply to this To obtain comprehensive knowledge about the UB-04 codes, the Official UB-04 Data Specification Manual is available for purchase on the American Hospital Association Online Store. 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. 20692 $396.90 Drive in style with preferred savings when you buy, lease or rent a car. Actual payment will be based on Health Options policies, procedures, and Customer Benefit Plans. End Users do not act for or on behalf of the CMS. 21188 $1,540.41 Therefore, you have no reasonable expectation of privacy. The 2018 report adds 93 codes that the CPT Editorial Panel has approved since the last report was issued in 2016. 2. 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 . (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. We want to help physicians, facilities and other health care professionals submit claims accurately. The AMA warrants that due to the nature of CPT, it does not manipulate or process dates, therefore there is no Year 2000 issue with CPT. trailer endobj A: . 1 0 obj Register for the 2023 webinar, "Connecting Promise and Practice: The Trajectory of Digitally Enabled Care.". Check Medicare Physician Fee Schedule (MPFS) Indicator/Descriptor Lists. Keep in mind that determination of coverage under a member's plan does not necessarily ensure reimbursement . Actual payment will be based on Health Options policies, procedures, and Customer Benefit Plans, Reimbursement by Procedure Codes 20000 29999Effective Jan. 1, 2015. AMA Press. Actual payment will be based on Health Options policies, procedures, and Customer Benefit Plans. A HCPCS/CPT code should be reported only if all services described by the code are performed. The scope of this license is determined by the AMA, the copyright holder. 21150 $1,586.39 20938 $182.41 If he only performs the laparotomy . Mohs surgical procedure may extend beyond the initial date of service, thus there are 3 Add-on codes (+17312, +17314 . PAs, MDs, and NPs. 20936 $204.00 0000003342 00000 n Penalties vary based on the frequency and seriousness of the violation. Sleep Apnea A Sleep Disorder That Can Be Fatal, How to Study for Surgical Tech Certification. 0000009629 00000 n References Assistant at surgery modifiers 20560, 20561, 33016, 46948, 62328, 62329, 64451, 64454, 64624, 64625 21082 $1,383.00 Cross , Policy SAS01252012RP IMPORTANT NOTE ABOUT THIS REIMBURSEMENT CPT codes and descriptions are copyright 2010 American Reimbursement for surgical assistant services is based on whether the assistant is a Physician or other health care professional. 0000067999 00000 n CPT is a trademark of the AMA. 21151 $1,848.99 Finding Medicare fee schedule HOw to Guide, Gastroenterology, Colonoscopy, Endoscopy Medicare CPT Code Fee, LCD and procedure to diagnosis lookup How to Guide, Medicare claim address, phone numbers, payor id revised list, Medicare Fee for Office Visit CPT Codes CPT Code 99213, 99214, 99203. 20982 $3,772.65 2023 Noridian Healthcare Solutions, LLC Terms & Privacy. 20206 $109.00 20500 $67.00 Use is limited to use in Medicare, Medicaid, or other programs administered by the Centers for Medicare and Medicaid Services (CMS). endobj The CMS WILL NOT BE LIABLE FOR ANY CLAIMS ATTRIBUTABLE TO ANY ERRORS, OMISSIONS, OR OTHER INACCURACIES IN THE INFORMATION OR MATERIAL CONTAINED ON THIS PAGE. 20501 $23.44 Psychological and Neuropsychological Testing List. 21146 $1,479.00 0000069701 00000 n 2 = Payment restrictions for assistants at surgery does not apply to this procedure. Actual payment will be based on Health Options policies, procedures, and Customer Benefit Plans. Appropriate use of assistant at surgery modifiers and payment indicators. Warning: you are accessing an information system that may be a U.S. Government information system. 4. Assistant surgeon may be paid. 21210 $861.00 All rights reserved. In addition, the 2018 report updates 384 revised codes and deletes 48 codes that are no longer in CPT. 0000069971 00000 n What Patients Can Learn From Current CPT Codes. 21340 $742.14 Use of CDT is limited to use in programs administered by Centers for Medicare & Medicaid Services (CMS). AS Non-physician provider as assistant at surgery: This modifier applies when the assistant at surgery services are provided by a PA, ARNP, or CNS. iPhone or 21060 $745.26 LICENSE FOR NATIONAL UNIFORM BILLING COMMITTEE ("NUBC"), Point and Click American Hospital Association Copyright Notice, Copyright 2021, the American Hospital Association, Chicago, Illinois. 2 The assistant surgeon may be paid. 20240 $200.00 0000005853 00000 n No . Note: To search for a specific modifier, enter "Mod" and the applicable modifier (e.g. 21209 $571.00 20526 $66.00 Confidential Download the app via the Apple Store, Google Play, or Amazon. Current Procedural Terminology (CPT) codes provide a uniform nomenclature for coding medical procedures and services. 0000004872 00000 n 21193 $1,180.32 Actual payment will be based on Health Options policies, procedures, and Customer Benefit Plans. 21147 $1,516.00 Confidential x]n y 1. The ACS maintains that a physician who assists with an operation should be trained to participate in and actively assist the surgeon in safely completing the operation. Download AMA Connect app for Resource. These codes describe patient-initiated digital communications provided by physician or other qualified health care professional (99421, 99422, 99423), or a non-physician health care professional (98970, 98971, 98972). All Rights Reserved. All the articles are getting from various resources. All Rights Reserved to AMA. The revenue codes and UB-04 codes are the IP of the American Hospital Association. The ADA does not directly or indirectly practice medicine or dispense dental services. <>/Rotate 0/Type/Page>> Those where the assistant surgeon concept does not apply (Indicator 9). CDT is provided "as is" without warranty of any kind, either expressed or implied, including but not limited to, the implied warranties of merchantability and fitness for a particular purpose. maternity "Delivery only" codes may be eligible for assistant modifiers. This system is provided for Government authorized use only. 0000000016 00000 n 21121 $603.00 0000001846 00000 n You must log in or register to reply here. 21179 $1,388.01 Modifier Description 62 Two surgeons . Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CDT for resale and/or license, transferring copies of CDT to any party not bound by this agreement, creating any modified or derivative work of CDT, or making any commercial use of CDT. 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. 21198 $1,058.35 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. 30 0 obj AMA Disclaimer of Warranties and Liabilities Learn more about the process with the AMA. `[ELd}CGa= F(!V: =Q 0VB5 W5*WuU}8-cPZ99%t/50 21347 $1,008.00 endobj 0000004824 00000 n The Internet-Only Manuals (IOM), Medicare Claims Processing Manual, Publication 100-04, Chapter 12, Section 20.4.5 (Allowable Adjustments) limits the reporting of use of an operating microscope (CPT code 69990) to procedures described by CPT codes 61304-61546, 61550-61711, 62010-62100, 63081-63308, 63704-63710, 64831, 64834-64836, 64840-64858, The following modifiers should be used by the supervising physician when he/she is billing for services rendered by a Physician Assistant (PA), Advanced Practice Nurse (APN) or Certified Registered Nurse First Assistant (CRNFA): AS Modifier: A physician should use this modifier when billing on behalf of a PA, APN or CRNFA for services provided when the aforementioned providers are acting as an assistant during surgery. 21040 $294.00 20973 $2,680.73 0000005083 00000 n The global period for YYY procedures is defined by the Carrier (A/B MAC processing practitioner service claims). 21196 $1,362.35 4. 20200 $124.00 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. These rates are provided for informational purposes only and are not to be considered a guarantee of payment. CPT codes, descriptions and other data only are copyright 2002-2020 American Medical Association (AMA). CPT has responded by adding six new codes to report online digital evaluation services, or e-visits. Assistant Surgeon (when qualified resident surgeon not available), Physician Assistant (PA), Nurse Practitioner (NP), Clinical Nurse Specialist (CNS) services for Assistant at Surgery.

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