2011 CPT Codes

Effective January 1, 2011

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 Group Asst Surg Mod 51 exempt
11045   60.63 $35.08       3 yes  
11046   $105.64 $74.74       3 yes  
11047   $173.49 $129.82       3 yes  
22551     $3,349.35     90 3 yes  
22552     $782.24       3 yes  
29914     $2,018.04     90 3 yes  
29915     $2,056.44     90 3 yes  
29916     $2,056.44     90 3 yes  
31295   $4,020.40 $347.01     0 3 yes  
31296   $7,527.32 $414.41     0 3 yes  
31297   $7,456.62 $339.67     0 3 yes  
31634   $3,571.57 $412.89     0 3 yes  
33620     $3,348.67     90 3 yes  
33621     $1,803.76     90 3 yes  
33622     $7,070.44     90 3 yes  
37220   $6,260.57 $850.97     0 3 yes  
37221   $9,256.59 $1,038.38     0 3 no  
37222   $1,803.49 $386.44     0 3 yes  
37223   $5,098.38 $439.30     0 3 yes  
37224   $7,523.24 $937.79     0 3 yes  
37225   $21,254.96 $1,261.40     0 3 yes  
37226   $17,809.13 $1,056.88     0 3 yes  
37227   $28,737.47 $1,523.49     0 3 yes  
37228   $10,710.46 $1,145.05     0 3 yes  
37229   $21,069.76 $1,476.65     0 3 yes  
37230   $16,556.06 $1,430.53     0 3 yes  
37231   $26,572.27 $1,554.76     0 3 yes  
37232   $2,403.71 $414.16     0 3 yes  
37233   $2,934.82 $679.88     0 3 yes  
37234   $7,664.09 $567.98     0 3 yes  
37235   $8,185.78 $806.10     0 3 yes  
38900   $267.47 $267.47     0 3 yes  
43283     $320.37     0 3 yes  
43327     $1,611.97     90 3 yes  
43328     $2,351.98     90 3 yes  
43332     $2,307.94     90 3 yes  
43333     $2,506.34     90 3 yes  
43334     $2,532.42     90 3 yes  
43335     $2,728.82     90 3 yes  
43336     $2,982.76     90 3 yes  
43337     $3,256.70     90 3 yes  
43338     $265.27     0 3 yes  
43753     $41.63     0 3 yes  
43754   $156.31 $62.91     0 3 yes  
43755   $238.84 $115.20     0 3 yes  
43757   $556.88 $150.36     0 3 yes  
49327     $258.10     0 3 yes  
49412     $161.26     0 3 yes  
49418   $3,002.88 $463.03     0 3 yes  
53860   $2,884.25 $459.30     90 3 yes  
57156   $298.23 $204.85     0 3 yes  
61781     $463.69     0 3 yes  
61782     $383.94     0 3 yes  
61783     $463.69     0 3 yes  
64566   $255.98 $59.78     0 3 yes  
64568     $1,268.55     90 3 yes  
64569     $1,218.45     90 3 yes  
64570     $1,061.02     90 3 yes  
64611   $195.08 $176.27     10 3 yes  
65778   $2,481.00 $148.09     10 3 yes  
65779   $2,244.25 $573.85     10 3 yes  
66174     $1,931.46     90 3 yes  
66175     $2,139.72     0 3 yes  
74176 $409.70     $247.84 $161.86   4    
74177 $642.63     $472.89 $169.74   4    
74178 $812.79     $625.04 $187.75   4    
76881 $217.31     $162.19 $55.12   4    
76882 $57.19     $18.97 $38.22   4    
80104             5    
82930             5    
83861             5    
84112             5    
85598             5    
86481             5    
86902             5    
87501             5    
87502             5    
87503             5    
87906             5    
88120 $693.75     $612.28 $81.46   5    
88121 $585.91     $513.64 $72.27   5    
88177 $42.85     $9.64 $33.21   5    
88363   $58.03 $26.09       5    
88749             5    
90460   $45.96         1    
90461   $23.05         1    
90470             1    
90644             1    
90664             1    
90666             1    
90667             1    
90668             1    
90867             1    
90868             1    
91013 $45.77     $26.00 $19.78   1    
91117   $280.51 $298.66       1    
92132 $72.06     $30.03 $42.02   1    
92133 $88.60     $30.03 $58.57   1    
92134 $88.60     $30.03 $58.57   1    
92227   $22.64         1    
92228 $59.55     $24.66 $34.90   1    
93451 $1,504.56     $1,215.54 $289.02   1    
93452 $1,667.14     $1,161.12 $506.02   1    
93453 $2,182.08     $1,518.38 $663.69   1    
93454 $1,719.69     $1,209.51 $510.18   1    
93455 $2,006.71     $1,417.59 $589.12   1    
93456 $2,152.41     $1,498.90 $653.51   1    
93457 $2,439.20     $1,706.50 $732.70   1    
93458 $2,075.12     $1,452.53 $622.59   1    
93459 $2,292.02     $1,590.94 $701.08   1    
93460 $2,452.74     $1,671.57 $781.17   1    
93461 $2,810.38     $1,948.86 $861.51   1    
93462   $397.02 $397.02       1    
93463   $211.19 $211.19       1    
93464 $496.13     $310.22 $185.92   1    
93565   $86.09 $86.09       1    
93566   $335.37 $86.09       1    
93567   $277.21 $97.15       1    
93568   $303.17 $88.15       1    
95800 $408.42     $291.41 $117.01   1    
95801 $193.27     $89.84 $103.43   1    
96446   $349.66 $41.92       1    

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


N.C. Industrial Commission ·  Medical Fees Section
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