2009 CPT Codes

Effective January 1, 2009

ABBREVIATIONS: Asst Surg = assistant surgeon allowed, BM = bilateral modifier, 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), Mod 51 Exempt = Modifier 51 cannot be used with this code, 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.
 

CODE TOTAL OFF FAC TC (27) PC (26) FUD Bilateral Mod (50) Asst Surg (80,81, or 82) Mod 51 exempt
20696     $1,968.60     90   yes  
20697 $2,273.89         90   yes yes
22856     $2,977.15     90   yes  
22861     $3,656.54     90   yes  
22864     $3,344.64     90   yes  
27027     $1,567.70     90   no  
27057     $1,759.30     90   no  
35535     $4,002.93     90   yes  
35570     $3,091.34     90   yes  
35633     $4,103.89     90   yes  
35634     $3,719.06     90   yes  
41512     $1,104.12     90   no  
41530   $5,365.19 $722.81     10   no  
43273   $248.19 $248.19         no  
43279     $2,312.56     90   yes  
46930   $366.72 $267.08     90   no  
49652     $1,401.44     90   yes  
49653     $1,751.06     90   yes  
49654     $1,610.67     90   yes  
49655     $1,938.81     90   yes  
49656     $1,616.48     90   yes  
49657     $2,334.93     90   yes  
55706     $776.99     10   yes  
61796     $1,396.78     90   yes  
61797   $384.56 $384.56         yes  
61798     $1,396.78     90   yes  
61799   $531.62 $531.62         yes  
61800     $270.29         yes  
62267   $466.01 $312.75     0   no  
63620     $1,396.78     90   yes  
63621   $442.12 $442.12         yes  
64455   $95.71 $76.45     0   no  
64632   $156.81 $134.81     10   no  
65756     $1,965.05     90   yes  
65757 BR BR           no  
77785 $340.82     $205.27 $135.55        
77786 $1,019.34     $713.97 $305.37        
77787 $1,515.02     $1,046.33 $468.69        
78808 $84.67                
83876 BR                
83951 BR                
85397 BR                
87905 BR                
88720 BR                
88740 BR                
88741 BR                
90650 BR                
90681 BR                
90696 BR                
90738 BR                
90951   $1,922.58              
90952 BR                
90953 BR                
90954   $1,578.58              
90955   $893.77              
90956   $605.43              
90957   $1,267.02              
90958   $854.82              
90959   $560.96              
90960   $561.93              
90961   $453.67              
90962   $328.10              
90963   $1,086.05              
90964   $906.30              
90965   $862.05              
90966   $448.87              
90967   $38.85              
90968   $30.32              
90969   $29.58              
90970   $15.68              
93228   $51.25              
93229 BR                
93279 $108.85     $36.94 $71.91        
93280 $128.98     $42.64 $86.33        
93281 $150.79     $50.00 $100.80        
93282 $139.30     $45.18 $94.12        
93283 $169.76     $51.38 $118.39        
93284 $199.04     $58.24 $140.80        
93285 $93.69     $34.88 $58.81        
93286 $53.02     $22.93 $30.10        
93287 $70.14     $25.94 $44.21        
93288 $83.78     $35.56 $48.22        
93289 $129.72     $42.64 $87.08        
93290 $62.27     $19.76 $42.52        
93291 $80.36     $31.66 $48.70        
93292 $72.78     $24.56 $48.22        
93293 $113.07     $79.41 $33.66        
93294 $73.07                
93295 $132.11                
93296 $69.20                
93297 $51.25                
93298 $58.81                
93299 BR                
93306 $509.19     $366.04 $143.15        
93307 $336.93     $237.62 $99.31        
93351   $530.43              
93352   $73.73              
95803 BR                
95992 BR                
96360   $107.33              
96361   $31.25              
96365   $130.91              
96366   $42.07              
96367   $66.17              
96368   $39.26              
96369   $285.08              
96370   $30.39              
96371   $137.92              
96372   $40.58              
96374   $103.91              
96375   $45.05              
96376 BR                
96379 BR                
99460 $112.64                
99461 $166.32                
99462 $60.07                
99463     $150.69            
99464 $141.77                
99465 $290.01                
99466 $463.40                
99467 $231.38                
99468 $1,736.81                
99469 $760.59                
99471 $1,547.22                
99472 $766.71                
99475 $1,067.55                
99476 $636.23                
99479 $242.07                
99480 $232.80                

©Current Procedural Terminology (CPT) Codes and Descriptors
Are Copyrighted by the American Medical Association.


N.C. Industrial Commission ·  Medical Fees Section
4337 Mail Service Center ·  Raleigh, NC 27699-4337
Telephone: (919) 807-2503 ·  Fax: (919) 715-0280
NCIC Home Page: http://www.ic.nc.gov/