CPT Codes and Fees: Pathology and Laboratory

CPT Codes and Fees

TABLE OF CONTENTS

CPT Codes and Fees,
Effective January 1, 2011

Surgery, Part 1 (10000-29999) (revised May 3, 2011)

Surgery, Part 2 (30000-49999) (revised May 3, 2011)

Surgery, Part 3 (50000-69999) (revised May 3, 2011)

Assistant Surgery Guide (revised August 11, 2011)

Radiology (revised May 3, 2011)

Pathology and Laboratory (revised May 3, 2011)

Evaluation & Management, Medicine, Physical Therapy (revised May 3, 2011)

Commission Assigned Codes

N.C. Industrial Commission Assigned Codes

Pathology and Laboratory

Effective January 1, 2011

ABBREVIATIONS: 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)
80047	BR			BR	BR
80048	$17.70
80050	$47.07
80051	$15.07
80053	$18.64
80055	$53.73
80061	$34.34
80069	BR			BR	BR
80074	$102.87
80076	BR			BR	BR
80100	$37.66
80101	$29.90
80102	$42.64
80103	$21.60
80104	BR			BR	BR
80150	$38.77
80152	$42.64
80154	$42.64
80156	$34.34
80157	BR			BR	BR
80158	$51.50
80160	$42.64
80162	$32.67
80164	$34.34
80166	$42.64
80168	$38.77
80170	$34.34
80172	$34.34
80173	BR			BR	BR
80174	$42.64
80176	$34.34
80178	$19.94
80182	$42.64
80184	$34.34
80185	$32.67
80186	$34.34
80188	$38.77
80190	$38.77
80192	$51.50
80194	$34.34
80195	BR			BR	BR
80196	$20.50
80197	BR			BR	BR
80198	$32.67
80200	$38.77
80201	BR			BR	BR
80202	$34.34
80299	BR			BR	BR
80400	$80.30
80402	$148.43
80406	$137.90
80408	$184.99
80410	$165.60
80412	$411.52
80414	$60.93
80415	$60.93
80416	BR			BR	BR
80417	BR			BR	BR
80418	$1,145.38
80420	$145.66
80422	$90.83
80424	$88.06
80426	$214.34
80428	$106.90
80430	$130.16
80432	$232.06
80434	$153.97
80435	$163.39
80436	$150.66
80438	$76.99
80439	$96.93
80440	$85.84
80500	$29.90
80502	$88.62
81000	$9.97
81001	$7.76
81002	$7.76
81003	$7.76
81005	$6.64
81007	$10.53
81015	$7.76
81020	$7.76
81025	$14.40
81050	$6.64
81099	BR			BR	BR
82000	$37.10
82003	$38.77
82009	$9.41
82010	$20.50
82013	$34.34
82016	BR			BR	BR
82017	BR			BR	BR
82024	$76.99
82030	$59.82
82040	$11.07
82042	$13.84
82043	$29.90
82044	$15.50
82045	BR			BR	BR
82055	$25.47
82075	$24.93
82085	$25.47
82088	$68.67
82101	$42.64
82103	$34.34
82104	$47.07
82105	$40.43
82106	$40.43
82108	$51.50
82120	BR			BR	BR
82127	BR			BR	BR
82128	$24.93
82131	$153.97
82135	$37.66
82136	BR			BR	BR
82139	BR			BR	BR
82140	$25.47
82143	$27.70
82145	$42.64
82150	$13.84
82154	$55.94
82157	$51.50
82160	$55.94
82163	$51.50
82164	$42.64
82172	$28.24
82175	$47.07
82180	$28.24
82190	$51.50
82205	$34.34
82232	$47.07
82239	$27.70
82240	$60.93
82247	BR			BR	BR
82248	BR			BR	BR
82252	$7.76
82261	BR			BR	BR
82270	$8.30			$8.30	$0.00
82271	BR			BR	BR
82272	BR			BR	BR
82274	BR			BR	BR
82286	$51.50
82300	$51.50
82306	$64.24
82308	$65.90
82310	$12.19
82330	$31.57
82331	$34.34
82340	$12.19
82355	$26.59
82360	$32.67
82365	$32.67
82370	$32.67
82373	BR			BR	BR
82374	$11.07
82375	$29.36
82376	$10.53
82378	$44.30
82379	BR			BR	BR
82380	$25.47
82382	$44.30
82383	$64.24
82384	$64.24
82387	$51.50
82390	$27.70
82397	$38.77
82415	$42.64
82435	$11.07
82436	$12.19
82438	$12.19
82441	$31.01
82465	$11.63
82480	$20.50
82482	$31.01
82485	$51.50
82486	$48.19
82487	$37.66
82488	$59.82
82489	$37.66
82491	$42.64
82492	BR			BR	BR
82495	$51.50
82507	$64.24
82520	$42.64
82523	BR			BR	BR
82525	$34.34
82528	$51.50
82530	$47.07
82533	$40.43
82540	$12.19
82541	BR			BR	BR
82542	$39.86
82543	BR			BR	BR
82544	BR			BR	BR
82550	$12.74
82552	$34.34
82553	$16.06
82554	$29.90
82565	$11.07
82570	$12.19
82575	$23.26
82585	$29.36
82595	$15.50
82600	$34.34
82607	$34.34
82608	$39.33
82610	BR			BR	BR
82615	$25.47
82626	$59.82
82627	$51.50
82633	$68.67
82634	$59.82
82638	$23.81
82646	$42.64
82649	$42.64
82651	$51.50
82652	$68.67
82654	$42.64
82656	BR			BR	BR
82657	BR			BR	BR
82658	BR			BR	BR
82664	$31.57
82666	$51.50
82668	$55.94
82670	$40.43
82671	$72.00
82672	$51.50
82677	$37.10
82679	$55.94
82690	$28.24
82693	$31.01
82696	$59.82
82705	$12.74
82710	$48.19
82715	$20.50
82725	$20.50
82726	BR			BR	BR
82728	$31.57
82731	BR			BR	BR
82735	$45.97
82742	$42.64
82746	$34.90
82747	$42.10