2013 CPT Codes

Effective January 1, 2013

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
22586   $2,973.90 $2,973.90     90 3 yes  
23473   $3,184.72 $3,184.72     90 3 yes  
23474   $3,440.30 $3,440.30     90 3 yes  
24370   $3,013.24 $3,013.24     90 3 yes  
24371   $3,472.48 $3,472.48     90 3 yes  
31647   $444.65 $444.65     0 3 no  
31648   $463.27 $463.27     0 3 no  
31649   $147.37 $147.37     0 3 no  
31651   $156.37 $156.37     0 3 no  
31660   $445.52 $445.52     0 3 no  
31661   $470.05 $470.05     0 3 no  
32554   $1,088.32 $178.07     0 3 no  
32555   $1,255.32 $222.27     0 3 no  
32556   $1,148.97 $243.92     0 3 no  
32557   $1,855.77 $321.79     0 3 no  
32701   $429.88 $429.88     0 3 yes  
33361   $2,619.95 $2,619.95     0 3 yes  
33362   $2,866.55 $2,866.55     0 3 yes  
33363   $2,968.05 $2,968.05     0 3 yes  
33364   $3,157.30 $3,157.30     0 3 yes  
33365   $3,454.08 $3,454.08     0 3 yes  
33367   $1,213.32 $1,213.32     0 3 yes  
33368   $1,470.28 $1,470.28     0 3 yes  
33369   $1,941.18 $1,941.18     0 3 yes  
33990   $852.18 $852.18     0 3 yes  
33991   $1,241.75 $1,241.75     0 3 yes  
33992   $405.57 $405.57     0 3 yes  
33993   $356.11 $356.11     0 3 yes  
36221   $2,234.40 $423.00     0 3 no  
36222   $2,769.73 $573.71     0 3 no  
36223   $3,030.07 $620.29     0 3 no  
36224   $3,291.86 $676.13     0 3 no  
36225   $3,008.14 $617.86     0 3 no  
36226   $3,355.53 $677.43     0 3 no  
36227   $486.12 $214.53     0 3 no  
36228   $2,303.68 $437.07     0 3 no  
37197   $3,048.61 $608.96     0 3 no  
37211   $794.73 $794.73     0 3 no  
37212   $701.57 $701.57     0 3 no  
37213   $490.28 $490.28     0 3 no  
37214   $287.53 $287.53     0 3 no  
38243   $231.15 $231.15     0 3 no  
43206 BR           3 no  
43252 BR           3    
44705 BR           3    
52287   $601.60 $328.06     0 3  no  
64615   $274.54 $247.24     0 3 no  
78012 $151.45     $133.99 $17.46   4    
78013 $382.59     $348.80 $33.79   4    
78014 $442.25     $397.02 $45.24   4    
78071 $661.56     $554.03 $107.53   4    
78072         $149.20   4    
81201 BR           5    
81202 BR           5    
81203 BR           5    
81235 BR           5    
81252 BR           5    
81253 BR           5    
81254 BR           5    
81321 BR           5    
81322 BR           5    
81323 BR           5    
81324 BR           5    
81325 BR           5    
81326 BR           5    
81479 BR           5    
81500 BR           5    
81503 BR           5    
81506 BR           5    
81508 BR           5    
81509 BR           5    
81510 BR           5    
81511 BR           5    
81512 BR           5    
81599 BR           5    
82777 BR           5    
86152 BR           5    
86153 BR           5    
86711 BR           5    
86828 BR           5    
86829 BR           5    
86830 BR           5    
86831 BR           5    
86832 BR           5    
86833 BR           5    
86834 BR           5    
86835 BR           5    
87631 BR           5    
87632 BR           5    
87633 BR           5    
87910 BR           5    
87912 BR           5    
88375 BR           5    
90653 BR           1    
90672 BR           1    
90739 BR           1    
90785   $7.28 $7.28       1    
90791   $230.38 $181.04       1    
90792   $192.13 $187.15       1    
90832   $95.97 $76.05       1    
90833   $64.15 $63.64       1    
90834   $124.65 $114.19       1    
90836   $104.20 $104.20       1    
90837   $182.65 $172.19       1    
90838   $168.25 $167.26       1    
90839 BR           1    
90840 BR           1    
90863 BR           1    
91112 $1,745.63     $1,574.56 $171.07   1    
92920   $809.13 $809.13       1    
92921 BR           1    
92924   $961.81 $961.81       1    
92925 BR           1    
92928   $898.45 $898.45       1    
92929 BR           1    
92933   $1,004.71 $1,004.71       1    
92934 BR           1    
92937   $897.42 $897.28       1    
92938 BR           1    
92941   $1,006.65 $1,006.65       1    
92943   $1,006.65 $1,006.65       1    
92944 BR           1    
93653   $1,223.01 $1,223.01       1    
93654   $1,632.19 $1,632.19       1    
93655   $611.57 $611.57       1    
93656   $1,632.77 $1,632.77       1    
93657   $611.95 $611.95       1    
95017   $13.11 $5.62       1    
95018   $32.31 $10.89       1    
95076   $176.69 $110.41       1    
95079   $125.39 $101.47       1    
95782 $1,537.43     $1,341.61 $195.83   1    
95783 $1,640.99     $1,427.07 $213.92   1    
95907 $141.71     $79.30 $62.41   1    
95908 $174.95     $99.59 $75.37   1    
95909 $209.57     $119.01 $90.57   1    
95910 $275.95     $116.86 $159.09   1    
95911 $334.34     $198.80 $135.55   1    
95912 $391.75     $238.39 $153.35   1    
95913 $454.36     $282.82 $171.54   1    
95940   $48.82 $48.82       1    
95941 BR           1    
95924 $221.94     $89.08 $132.86   1    
95943 BR           1    
99485 BR           1    
99486 BR           1    
99487 BR           1    
99488 BR           1    
99489 BR           1    
99495   $246.73 $203.87       1    
99496   $348.33 $299.00       1    

İCurrent 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/