CPT Codes and Fees, |
Surgery, Part 1 (10000-29999) |
Surgery, Part 2 (30000-49999) |
Surgery, Part 3 (50000-69999) |
Assistant Surgery Guide |
Radiology |
Pathology and Laboratory |
Evaluation & Management, Medicine, Physical Therapy |
Commission Assigned Codes |
N.C. Industrial Commission Assigned Codes |
Effective January 1, 2015ABBREVIATIONS: BR = by
report (i.e., report is needed to establish fee), CPT
= Current Procedural Terminology, FAC = services were
performed in a facility setting, FUD = follow-up days
(i.e., number of days in global period), NA = no
allowance, OFF = services were performed in physician
office setting, PC (26) = professional component,
PER AGM = per agreement, SC = special
consideration (see Guides or contact Industrial Commission),
TBA = to be assigned, TC (27) = technical
component, Total = total fee, and Units =
requires time or number of units. |
CPT Code |
Total |
OFF |
FAC |
TC (27) |
PC (26) |
FUD |
50010 |
$1,537.46 |
|
|
|
|
45 |
50020 |
$1,509.01 |
|
|
|
|
45 |
50040 |
$1,438.29 |
|
|
|
|
45 |
50045 |
$1,895.82 |
|
|
|
|
45 |
50060 |
$2,364.69 |
|
|
|
|
45 |
50065 |
$2,621.47 |
|
|
|
|
45 |
50070 |
$2,506.09 |
|
|
|
|
45 |
50075 |
$3,196.79 |
|
|
|
|
45 |
50080 |
$2,042.08 |
|
|
|
|
45 |
50081 |
$2,775.87 |
|
|
|
|
45 |
50100 |
$1,999.83 |
|
|
|
|
45 |
50120 |
$2,029.90 |
|
|
|
|
45 |
50125 |
$2,075.41 |
|
|
|
|
45 |
50130 |
$2,259.06 |
|
|
|
|
45 |
50135 |
$2,744.19 |
|
|
|
|
90 |
50200 |
$357.97 |
|
|
|
|
0 |
50205 |
$1,439.94 |
|
|
|
|
45 |
50220 |
$2,290.74 |
|
|
|
|
90 |
50225 |
$2,770.19 |
|
|
|
|
90 |
50230 |
$3,041.59 |
|
|
|
|
90 |
50234 |
$2,949.78 |
|
|
|
|
90 |
50236 |
$3,208.18 |
|
|
|
|
90 |
50240 |
$2,834.37 |
|
|
|
|
90 |
50250 |
$2,287.82 |
|
|
|
|
90 |
50280 |
$1,994.14 |
|
|
|
|
90 |
50290 |
$1,773.93 |
|
|
|
|
90 |
50300 |
$1,823.49 |
|
|
|
|
0 |
50320 |
$2,970.89 |
|
|
|
|
90 |
50323 |
BR |
|
|
|
|
0 |
50325 |
BR |
|
|
|
|
0 |
50327 |
$424.25 |
|
|
|
|
0 |
50328 |
$371.43 |
|
|
|
|
0 |
50329 |
$354.83 |
|
|
|
|
0 |
50340 |
$1,843.00 |
|
|
|
|
90 |
50360 |
$4,080.10 |
|
|
|
|
90 |
50365 |
$4,964.23 |
|
|
|
|
90 |
50370 |
$1,758.48 |
|
|
|
|
90 |
50380 |
$2,104.66 |
|
|
|
|
90 |
50382 |
|
$3,047.81 |
$580.67 |
|
|
0 |
50384 |
|
$2,942.63 |
$528.66 |
|
|
0 |
50385 |
|
$2,539.05 |
$468.63 |
|
|
0 |
50386 |
|
$1,641.70 |
$354.84 |
|
|
0 |
50387 |
|
$1,473.62 |
$210.26 |
|
|
0 |
50389 |
|
$1,007.28 |
$115.55 |
|
|
0 |
50390 |
$338.00 |
|
|
|
|
0 |
50391 |
|
$274.10 |
$205.50 |
|
|
0 |
50392 |
$545.51 |
|
|
|
|
0 |
50393 |
$678.85 |
|
|
|
|
0 |
50394 |
$89.86 |
|
|
|
|
0 |
50395 |
$580.45 |
|
|
|
|
0 |
50396 |
$178.27 |
|
|
|
|
0 |
50398 |
$156.02 |
|
|
|
|
0 |
50400 |
$2,479.27 |
|
|
|
|
90 |
50405 |
$3,105.78 |
|
|
|
|
90 |
50500 |
$2,415.89 |
|
|
|
|
90 |
50520 |
$2,069.72 |
|
|
|
|
45 |
50525 |
$2,621.47 |
|
|
|
|
45 |
50526 |
$2,368.75 |
|
|
|
|
90 |
50540 |
$2,551.60 |
|
|
|
|
90 |
50541 |
$1,664.27 |
|
|
|
|
90 |
50542 |
$2,119.80 |
|
|
|
|
90 |
50543 |
$2,675.05 |
|
|
|
|
90 |
50544 |
$2,296.12 |
|
|
|
|
0 |
50545 |
$2,600.11 |
|
|
|
|
90 |
50546 |
$2,124.77 |
|
|
|
|
90 |
50547 |
$2,721.10 |
|
|
|
|
90 |
50548 |
$2,498.62 |
|
|
|
|
90 |
50549 |
BR |
|
|
|
|
90 |
50551 |
$610.28 |
|
|
|
|
0 |
50553 |
$600.51 |
|
|
|
|
0 |
50555 |
$876.80 |
|
|
|
|
15 |
50557 |
$886.56 |
|
|
|
|
0 |
50559 |
$637.90 |
|
|
|
|
15 |
50561 |
$993.00 |
|
|
|
|
0 |
50562 |
$1,124.16 |
|
|
|
|
90 |
50570 |
$863.80 |
|
|
|
|
0 |
50572 |
$1,376.55 |
|
|
|
|
0 |
50574 |
$1,413.12 |
|
|
|
|
15 |
50575 |
$1,868.19 |
|
|
|
|
0 |
50576 |
$1,534.21 |
|
|
|
|
15 |
50578 |
$1,214.04 |
|
|
|
|
15 |
50580 |
$1,210.79 |
|
|
|
|
0 |
50590 |
$1,538.26 |
|
|
|
|
90 |
50592 |
|
$11,282.46 |
$763.21 |
|
|
10 |
50593 |
|
$8,956.96 |
$906.28 |
|
|
10 |
50600 |
$1,914.50 |
|
|
|
|
45 |
50605 |
$1,606.53 |
|
|
|
|
45 |
50610 |
$2,080.27 |
|
|
|
|
45 |
50620 |
$2,004.71 |
|
|
|
|
45 |
50630 |
$2,081.09 |
|
|
|
|
45 |
50650 |
$2,222.49 |
|
|
|
|
90 |
50660 |
$2,427.26 |
|
|
|
|
90 |
50684 |
$97.52 |
|
|
|
|
0 |
50686 |
$147.89 |
|
|
|
|
0 |
50688 |
$120.26 |
|
|
|
|
0 |
50690 |
$116.20 |
|
|
|
|
0 |
50700 |
$2,083.53 |
|
|
|
|
90 |
50715 |
$2,268.00 |
|
|
|
|
45 |
50722 |
$2,019.34 |
|
|
|
|
90 |
50725 |
$2,298.05 |
|
|
|
|
90 |
50727 |
$1,010.88 |
|
|
|
|
45 |
50728 |
$1,487.07 |
|
|
|
|
45 |
50740 |
$2,375.26 |
|
|
|
|
90 |
50750 |
$2,509.33 |
|
|
|
|
90 |
50760 |
$2,393.95 |
|
|
|
|
90 |
50770 |
$2,606.85 |
|
|
|
|
90 |
50780 |
$2,416.69 |
|
|
|
|
90 |
50782 |
$2,504.47 |
|
|
|
|
90 |
50783 |
$2,578.40 |
|
|
|
|
90 |
50785 |
$2,709.23 |
|
|
|
|
90 |
50800 |
$2,167.22 |
|
|
|
|
90 |
50810 |
$2,417.51 |
|
|
|
|
90 |
50815 |
$2,981.46 |
|
|
|
|
90 |
50820 |
$3,073.29 |
|
|
|
|
90 |
50825 |
$4,432.77 |
|
|
|
|
90 |
50830 |
$3,931.41 |
|
|
|
|
90 |
50840 |
$2,459.76 |
|
|
|
|
90 |
50845 |
$2,608.48 |
|
|
|
|
45 |
50860 |
$1,948.64 |
|
|
|
|
90 |
50900 |
$1,767.42 |
|