Radiology Section 6

In Accordance with the N.C. Industrial Commission’s
Medical Fee Schedule & Subsequent Updates, 1996-2009

Bernadine Singh
Chief Medical Fee Examiner
N.C. Industrial Commission
E-mail: Bernadine.Singh@ic.nc.gov

NOTE 1: To purchase a complete copy of the American Medical Association’s Current Procedural Technology Codes, telephone Ingenix, Inc. at (800) INGENIX (464-3649), option 1, or go to http://www.shopingenix.com/modules/catalog/catalog_category.asp to order a CPT® code book online.

NOTE 2: Please report any problems or errors directly to Bernadine.Singh@ic.nc.gov.

NOTE 3: This page was last revised on February 20, 2009.

TABLE OF CONTENTS

Introduction	CPT Codes and Fees / Commission Assigned Codes
Evaluation and Management Section 3	Physical Medicine Section 10
Anesthesia Section 4 (effective April 1, 2000)	Chiropractic Fee Schedule Section 11 (effective March 1, 2001)
Surgery Section 5	Industrial Rehabilitation Section 12 (effective January 1996)
Radiology Section 6	Dental Fee Schedule Section 13 (effective May 1, 2007)
Pathology and Laboratory Section 7	Hospital and Ambulatory Surgical Center Section 14 (effective July 15, 2002)
Medicine Section 8	Forms Section 16 (effective February 1, 2000)
Special Services Section 9	Durable Medical Equipment/Supply Fee Schedule (effective January 1, 2008)

Radiology Section 6

When entering CPT codes in the 70000 series (X-rays), you must also enter a modifier. Use modifier “27” if billing for the technical component only. Use modifier “26” for if billing for the professional component only.

Technical (taking) "27" or "TC"

Professional (reading) "26"

CPT Code 76140—Charge for a “Consultation on X-ray examination made elsewhere” is not allowed in conjunction with an office visit charge. CPT Code 76140 is included in the office visit charge. If submitted separately with no office visit charge, you may allow a charge for CPT Code 76140.

N.C. Industrial Commission ·   Medical Fees Section
4337 Mail Service Center ·   Raleigh, NC 27699-4337
Telephone: (919) 807-2503 ·   Fax: (919) 715-0282
Internet Address: http://www.ic.nc.gov/

Radiology Section 6

In Accordance with the N.C. Industrial Commission’s Medical Fee Schedule & Subsequent Updates, 1996-2009

Radiology Section 6

In Accordance with the N.C. Industrial Commission’s
Medical Fee Schedule & Subsequent Updates, 1996-2009