Order Adopting Rules Relating to


A. Additions to the Chiropractic Fee Schedule (effective March 1, 2001) E. Establishment of Hospital Fees for Workers' Compensation Cases (effective January 1, 2001)
B. Adoption of a Durable Medical Equipment/Supply Fee Schedule (effective March 1, 2001) F. Reimbursement for Multiple Arthroscopic Procedures (effective March 1, 2001)
C. Deletion of Obsolete CPT Codes (effective March 1, 2001) G. Amendment of Industrial Commission Rule 104 (effective March 1, 2001)
D. Adoption of Fees for Physicians' Assistants (effective March 1, 2001)

Reimbursement for Multiple Arthroscopic Procedures

REVISION IN THE REIMBURSEMENT METHODOLOGY FOR MULTIPLE ARTHROSCOPIC SURGICAL PROCEDURES PERFORMED DURING THE SAME OPERATIVE SESSION

The North Carolina Industrial Commission will allow reimbursement for multiple arthroscopic procedures at the rates of one hundred percent (100%) for the primary procedure and fifty percent (50%) for each secondary procedure as long as the secondary procedure or procedures are not considered integral to the primary procedure.

The Industrial Commission will utilize appropriate guidelines, namely those issued by the Health Care Financing Administration, in determining reimbursement for multiple arthroscopic procedures.


Go Back to January 16, 2001 Order Adopting These Rules

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