CPT Codes and Fees


TABLE OF CONTENTS

CPT Codes and Fees,
Effective January 1, 2014

Surgery
Assistant Surgery Guide
Radiology
Pathology and Laboratory
Evaluation & Management, Medicine, Physical Therapy

Commission Assigned Codes

N.C. Industrial Commission Assigned Codes

Assistant Surgery Guide*

The Assistant Surgeon Guide lists surgical procedures that are normally appropriate for assistant surgeons. This information is a guide only; there may be circumstances where an assistant surgeon is necessary due to complications or unusual circumstances. In these cases it is appropriate to attach a report specifying the unusual circumstances.

*This list may not contain all Assistant Surgeon codes. In the event that a code is inadvertently left off this list, please note that since the N.C. Industrial Commission has adopted NCCI Edits, these edits supersede all other guidelines.

CPT Code Assistant Surgeon Allowed
10030 yes
10081 yes
12007 yes
12018 yes
12037 yes
12047 yes
12057 yes
14300 yes
15002 yes
15003 yes
15004 yes
15005 yes
15121 yes
15731 yes
15732 yes
15734 yes
15736 yes
15738 yes
15750 yes
15756 yes
15757 yes
15758 yes
15770 yes
15829 yes
15830 yes
15831 yes
15840 yes
15841 yes
15842 yes
15845 yes
15847 yes
15922 yes
15933 yes
15935 yes
15936 yes
15937 yes
15944 yes
15945 yes
15946 yes
15951 yes
15952 yes
15953 yes
15956 yes
15958 yes
15999 yes
17999 yes
19081 yes
19082 yes
19083 yes
19084 yes
19085 yes
19086 yes
19162 yes
19180 yes
19182 yes
19200 yes
19220 yes
19240 yes
19260 yes
19271 yes
19272 yes
19281 yes
19282 yes
19283 yes
19284 yes
19285 yes
19286 yes
19287 yes
19288 yes
19301 yes
19302 yes
19303 yes
19304 yes
19305 yes
19306 yes
19307 yes
19316 yes
19318 yes
19357 yes
19361 yes
19364 yes
19366 yes
19367 yes
19368 yes
19369 yes
19499 yes
20100 yes
20102 yes
20150 yes
20250 yes
20251 yes
20692 yes
20802 yes
20805 yes
20808 yes
20816 yes
20822 yes
20824 yes
20827 yes
20838 yes
20900 yes
20902 yes
20922 yes
20924 yes
20930 no
20936 no
20937 yes
20938 yes
20955 yes
20956 yes
20957 yes
20962 yes
20969 yes
20970 yes
20972 yes
20973 yes
20975 yes
20999 yes
21015 yes
21034 yes
21044 yes
21045 yes
21060 yes
21089 yes
21121 yes
21122 yes
21123 yes
21125 yes
21127 yes
21137 yes
21138 yes
21139 yes
21141 yes
21142 yes
21143 yes
21145 yes
21146 yes
21147 yes
21150 yes
21151 yes
21154 yes
21155 yes
21159 yes
21160 yes
21172 yes
21175 yes
21179 yes
21180 yes
21181 yes
21182 yes
21183 yes
21184 yes
21188 yes
21193 yes
21194 yes
21195 yes
21196 yes
21198 yes
21199 yes
21206 yes
21209 yes
21215 yes
21240 yes
21242 yes
21243 yes
21244 yes
21245 yes
21246 yes
21247 yes
21255 yes
21256 yes
21260 yes
21261 yes
21263 yes
21267 yes
21268 yes
21275 yes
21299 yes
21339 yes
21343 yes
21344 yes
21346 yes
21347 yes
21348 yes
21360 yes
21365 yes
21366 yes
21385 yes
21386 yes
21387 yes
21390 yes
21395 yes
21401 yes
21406 yes
21407 yes
21408 yes
21422 yes
21423 yes
21431 yes
21432 yes
21433 yes
21435 yes
21436 yes
21445 yes
21451 yes
21452 yes
21453 yes
21454 yes
21461 yes
21462 yes
21465 yes
21470 yes
21490 yes
21494 yes
21495 yes
21499 yes
21502 yes
21557 yes
21600 yes
21610 yes
21615 yes
21616 yes
21620 yes
21627 yes
21630 yes
21632 yes
21700 yes
21705 yes
21720 yes
21725 yes
21740 yes
21750 yes
21805 yes
21810 yes
21825 yes
21899 yes
22100 yes
22101 yes
22102 yes
22103 yes
22110 yes
22112 yes
22114 yes
22116 yes
22210 yes
22212 yes
22214 yes
22216 yes
22220 yes
22222 yes
22224 yes
22226 yes
22318 yes
22319 yes
22325 yes
22326 yes
22327 yes
22328 yes
22548 yes
22551 yes
22554 yes
22556 yes
22558 yes
22585 yes
22586 yes
22590 yes
22595 yes
22600 yes
22610 yes
22612 yes
22614 yes
22630 yes
22632 yes
22633 yes
22800 yes
22802 yes
22804 yes
22808 yes
22810 yes
22812 yes
22818 yes
22819 yes
22830 yes
22840 yes
22842 yes
22843 yes
22844 yes
22845 yes
22846 yes
22847 yes
22848 yes
22849 yes
22850 yes
22851 yes
22852 yes
22855 yes
22856 yes
22857 yes
22861 yes
22862 yes
22865 yes
22899 yes
22900 yes
22999 yes
23000 yes
23020 yes
23035 yes
23040 yes
23077 yes
23100 yes
23105 yes
23107 yes
23120 yes
23125 yes
23145 yes
23150 yes
23155 yes
23156 yes
23172 yes
23174 yes
23195 yes
23200 yes
23210 yes
23220 yes
23221 yes
23222 yes
23333 no
23334 no
23335 no
23395 yes
23397 yes
23400 yes
23405 yes
23406 yes
23410 yes
23412 yes
23420 yes
23430 yes
23440 yes
23450 yes
23455 yes
23460 yes
23462 yes
23465 yes
23466 yes
23470 yes
23472 yes
23473 yes
23474 yes
23485 yes
23490 yes
23491 yes
23515 yes
23530 yes
23532 yes
23550 yes
23552 yes
23585 yes
23615 yes
23616 yes
23630 yes
23660 yes
23670 yes
23680 yes
23800 yes
23802 yes
23900 yes
23920 yes
23929 yes
24000 yes
24006 yes
24100 yes
24101 yes
24102 yes
24110 yes
24115 yes
24116 yes
24125 yes
24126 yes
24134 yes
24138 yes
24140 yes
24149 yes
24150 yes
24151 yes
24152 yes
24155 yes
24301 yes
24305 yes
24310 yes
24320 yes
24330 yes
24331 yes
24340 yes
24341 yes
24342 yes
24343 yes
24344 yes
24352 yes
24356 yes
24360 yes
24361 yes
24362 yes
24363 yes
24365 yes
24366 yes
24370 yes
24371 yes
24400 yes
24410 yes
24420 yes
24430 yes
24435 yes
24470 yes
24498 yes
24515 yes
24545 yes
24546 yes
24575 yes
24577 yes
24579 yes
24586 yes
24587 yes
24615 yes
24635 yes
24665 yes
24666 yes
24685 yes
24800 yes
24802 yes
24900 yes
24920 yes
24925 yes
24930 yes
24931 yes
24940 yes
24999 yes
25077 yes
25085 yes
25105 yes
25107 yes
25116 yes
25119 yes
25126 yes
25135 yes
25136 yes
25145 yes
25150 yes
25151 yes
25170 yes
25210 yes
25215 yes
25230 yes
25240 yes
25250 yes
25251 yes
25263 yes
25272 yes
25274 yes
25280 yes
25300 yes
25301 yes
25310 yes
25312 yes
25316 yes
25320 yes
25332 yes
25335 yes
25350 yes
25355 yes
25360 yes
25365 yes
25370 yes
25375 yes
25390 yes
25391 yes
25392 yes
25393 yes
25405 yes
25415 yes
25420 yes
25425 yes
25426 yes
25440 yes
25441 yes
25442 yes
25443 yes
25444 yes
25445 yes
25446 yes
25447 yes
25449 yes
25490 yes
25491 yes
25492 yes
25525 yes
25526 yes
25545 yes
25574 yes
25575 yes
25607 yes
25608 yes
25609 yes
25611 yes
25620 yes
25628 yes
25645 yes
25670 yes
25676 yes
25685 yes
25695 yes
25800 yes
25805 yes
25810 yes
25820 yes
25825 yes
25830 yes
25900 yes
25905 yes
25907 yes
25909 yes
25915 yes
25920 yes
25922 yes
25924 yes
25929 yes
25999 yes
26135 yes
26185 yes
26255 yes
26260 yes
26261 yes
26262 yes
26352 yes
26357 yes
26358 yes
26372 yes
26373 yes
26390 yes
26392 yes
26412 yes
26420 yes
26434 yes
26474 yes
26479 yes
26480 yes
26483 yes
26490 yes
26492 yes
26494 yes
26497 yes
26498 yes
26499 yes
26502 yes
26504 yes
26510 yes
26516 yes
26517 yes
26518 yes
26525 yes
26530 yes
26531 yes
26536 yes
26541 yes
26542 yes
26545 yes
26546 yes
26550 yes
26551 yes
26553 yes
26554 yes
26555 yes
26556 yes
26560 yes
26561 yes
26562 yes
26565 yes
26567 yes
26568 yes
26580 yes
26587 yes
26590 yes
26596 yes
26686 yes
26820 yes
26841 yes
26842 yes
26843 yes
26844 yes
26850 yes
26852 yes
26862 yes
26863 yes
26989 yes
26992 yes
27001 yes
27003 yes
27005 yes
27006 yes
27025 yes
27030 yes
27033 yes
27035 yes
27036 yes
27048 yes
27049 yes
27050 yes
27052 yes
27054 yes
27060 yes
27065 yes
27066 yes
27067 yes
27070 yes
27071 yes
27075 yes
27076 yes
27077 yes
27078 yes
27079 yes
27080 yes
27087 yes
27090 yes
27091 yes
27097 yes
27098 yes
27100 yes
27105 yes
27110 yes
27111 yes
27120 yes
27122 yes
27125 yes
27130 yes
27132 yes
27134 yes
27137 yes
27138 yes
27140 yes
27146 yes
27147 yes
27151 yes
27156 yes
27158 yes
27161 yes
27165 yes
27170 yes
27176 yes
27177 yes
27179 yes
27181 yes
27187 yes
27194 yes
27202 yes
27215 yes
27216 yes
27217 yes
27218 yes
27226 yes
27227 yes
27228 yes
27236 yes
27244 yes
27245 yes
27248 yes
27253 yes
27254 yes
27258 yes
27259 yes
27280 yes
27282 yes
27284 yes
27286 yes
27290 yes
27295 yes
27299 yes
27303 yes
27305 yes
27306 yes
27310 yes
27315 yes
27320 yes
27325 yes
27326 yes
27329 yes
27331 yes
27332 yes
27333 yes
27334 yes
27335 yes
27345 yes
27347 yes
27350 yes
27355 yes
27356 yes
27357 yes
27358 yes
27360 yes
27365 yes
27380 yes
27381 yes
27385 yes
27386 yes
27390 yes
27391 yes
27392 yes
27393 yes
27394 yes
27395 yes
27396 yes
27397 yes
27400 yes
27403 yes
27405 yes
27407 yes
27409 yes
27415 yes
27418 yes
27420 yes
27422 yes
27424 yes
27427 yes
27428 yes
27429 yes
27430 yes
27435 yes
27438 yes
27440 yes
27441 yes
27442 yes
27443 yes
27445 yes
27446 yes
27447 yes
27448 yes
27450 yes
27454 yes
27455 yes
27457 yes
27465 yes
27466 yes
27468 yes
27470 yes
27472 yes
27479 yes
27486 yes
27487 yes
27488 yes
27495 yes
27497 yes
27498 yes
27499 yes
27506 yes
27507 yes
27511 yes
27513 yes
27514 yes
27517 yes
27519 yes
27524 yes
27535 yes
27536 yes
27540 yes
27556 yes
27557 yes
27558 yes
27566 yes
27580 yes
27590 yes
27591 yes
27592 yes
27596 yes
27598 yes
27599 yes
27602 yes
27612 yes
27615 yes
27620 yes
27625 yes
27626 yes
27637 yes
27638 yes
27645 yes
27646 yes
27647 yes
27650 yes
27652 yes
27654 yes
27656 yes
27658 yes
27659 yes
27665 yes
27675 yes
27676 yes
27685 yes
27686 yes
27687 yes
27690 yes
27691 yes
27692 yes
27698 yes
27700 yes
27702 yes
27703 yes
27704 yes
27705 yes
27709 yes
27712 yes
27715 yes
27720 yes
27722 yes
27724 yes
27725 yes
27727 yes
27740 yes
27742 yes
27745 yes
27756 yes
27758 yes
27759 yes
27814 yes
27822 yes
27823 yes
27826 yes
27827 yes
27828 yes
27829 yes
27832 yes
27846 yes
27848 yes
27870 yes
27871 yes
27880 yes
27881 yes
27882 yes
27886 yes
27888 yes
27889 yes
27892 yes
27894 yes
27899 yes
28046 yes
28055 yes
28062 yes
28086 yes
28100 yes
28102 yes
28103 yes
28104 yes
28106 yes
28107 yes
28114 yes
28116 yes
28118 yes
28120 yes
28122 yes
28130 yes
28171 yes
28202 yes
28210 yes
28238 yes
28250 yes
28260 yes
28262 yes
28289 yes
28292 yes
28293 yes
28294 yes
28296 yes
28297 yes
28298 yes
28299 yes
28300 yes
28302 yes
28304 yes
28305 yes
28306 yes
28308 yes
28320 yes
28322 yes
28360 yes
28415 yes
28420 yes
28445 yes
28465 yes
28555 yes
28585 yes
28615 yes
28705 yes
28715 yes
28725 yes
28730 yes
28735 yes
28737 yes
28740 yes
28760 yes
28800 yes
28805 yes
28899 yes
29799 yes
29804 yes
29805 yes
29806 yes
29807 no
29820 yes
29821 yes
29822 yes
29823 yes
29824 yes
29825 yes
29826 yes
29827 yes
29828 yes
29834 yes
29835 yes
29836 yes
29837 yes
29838 yes
29843 yes
29844 yes
29845 yes
29846 yes
29847 yes
29848 yes
29850 yes
29851 yes
29855 yes
29856 yes
29860 yes
29861 yes
29862 yes
29863 yes
29874 yes
29875 yes
29876 yes
29877 yes
29879 yes
29880 yes
29881 yes
29882 yes
29883 yes
29884 yes
29885 yes
29886 yes
29887 yes
29888 yes
29889 yes
29891 yes
29892 yes
29893 yes
29894 yes
29895 yes
29897 yes
29898 yes
29999 yes
30118 yes
30125 yes
30160 yes
30410 yes
30430 yes
30435 yes
30450 yes
30460 yes
30462 yes
30540 yes
30545 yes
30999 yes
31075 yes
31080 yes
31081 yes
31084 yes
31085 yes
31086 yes
31087 yes
31205 yes
31225 yes
31230 yes
31299 yes
31300 yes
31320 yes
31360 yes
31365 yes
31367 yes
31368 yes
31370 yes
31375 yes
31380 yes
31382 yes
31390 yes
31395 yes
31400 yes
31420 yes
31580 yes
31582 yes
31584 yes
31587 yes
31588 yes
31590 yes
31595 yes
31599 yes
31601 yes
31647 no
31648 no
31649 no
31651 no
31660 no
31661 no
31750 yes
31755 yes
31760 yes
31766 yes
31770 yes
31775 yes
31780 yes
31781 yes
31785 yes
31786 yes
31805 yes
31899 yes
32035 yes
32036 yes
32095 yes
32100 yes
32110 yes
32120 yes
32124 yes
32140 yes
32141 yes
32150 yes
32151 yes
32160 yes
32200 yes
32215 yes
32220 yes
32225 yes
32310 yes
32320 yes
32402 yes
32440 yes
32442 yes
32445 yes
32480 yes
32482 yes
32484 yes
32486 yes
32488 yes
32491 yes
32500 yes
32501 yes
32540 yes
32554 no
32555 no
32556 no
32557 no
32601 yes
32602 yes
32603 yes
32604 yes
32605 yes
32606 yes
32650 yes
32651 yes
32652 yes
32653 yes
32654 yes
32655 yes
32656 yes
32657 yes
32658 yes
32659 yes
32660 yes
32661 yes
32662 yes
32663 yes
32664 yes
32665 yes
32701 yes
32800 yes
32810 yes
32815 yes
32820 yes
32850 yes
32851 yes
32852 yes
32853 yes
32854 yes
32900 yes
32905 yes
32906 yes
32940 yes
32998 yes
32999 yes
33020 yes
33025 yes
33030 yes
33031 yes
33050 yes
33120 yes
33130 yes
33140 yes
33141 yes
33236 yes
33237 yes
33238 yes
33241 yes
33243 yes
33244 yes
33245 yes
33246 yes
33249 yes
33250 yes
33251 yes
33253 yes
33254 yes
33255 yes
33256 yes
33261 yes
33265 yes
33266 yes
33300 yes
33305 yes
33310 yes
33315 yes
33320 yes
33321 yes
33322 yes
33330 yes
33332 yes
33335 yes
33336 yes
33361 yes