81 Assistant Surgeon: This modifier pertains to physicians services only. 21385 $666.31 hb```^V @16, ' 00oX>lbR{X`GX&~"IuEMe>grv%*:;kl`6 HxkVb5?}&H>d8`pC5BQ@Ko7sRw> , Actual payment will be based on Health Options policies, procedures, and Customer Benefit Plans. If a physician appends modifier AS to procedure codes for which he/she acted as assistant at surgery, these codes will be denied (see above for modifiers that should be used by physicians). 21050 $800.65 21047 $1,153.00 Assistant Surgeon Charges , Payment Of Assistant At Surgery Services In A Method II (minimum assistant surgeon), or 82 (when qualified resident surgeon not available). x]n y The MPFSDB is a file layout that carriers and A/B MACs use to display the total fee schedule amount, related component parts, and payment policy indicators. Revisions (revenue codes 96X, Modifier 80 (assistant surgeon), 81 (minimum assistant surgeon), or 82 , Modifiers 80, 81, 82, AS; Assistant At Surgery Medicare , 81, 82, AS; Assistant at Surgery Medicare Advantage; Table of contents; Modifiers 80, 81, 82, AS; Assistant at Surgery Medicare Assistant surgeon may be paid with documentation supporting medical necessity. 0000003025 00000 n Physicians should report the HCPCS/CPT code that describes the procedure performed to the greatest specificity possible. 20962 $2,214.80 For assistant-at-surgery services performed by physicians, the fee schedule amount equals 16 percent of the amount otherwise applicable for the surgical payment. All Rights Reserved. 0000001301 00000 n A physician should not separately report these services simply because HCPCS/CPT codes exist for them. 1 = Statutory payment restriction for assistants at surgery applies to this procedure. NDC code must follow the 11-digit billing format with no spaces, hyphens or special characters in the number. A licensed physician assistant 3. In some cases, the service the physician provides may not meet the documentation requirements for the lowest level initial hospital visit (99221). 21087 $1,775.09 Evaluation & Management, Medicine, Physical Therapy. Reimbursement by Procedure Codes 20000 29999 Effective Jan. 1, 2015, These rates are provided for informational purposes only and are not to be considered a guarantee of payment. 2 = Payment restrictions for assistants at surgery does not apply to this procedure. What Is a CPT Code and Where Can You Find It? As for S2068, many payors who recognize this code generally do not recognize payment for an assistant or co-surgeon on the same code. 20690 $241.26 Jz/SZ5 20600 $48.20 CPT Code Reimbursement The goal of the Reimagining Residency grant program is to transform residency training to best address the workplace needs of our current and future health care system. Services rendered for assistant at surgery by non-physician providers are reimbursed at 85 percent of 16 percent (i.e., 13.6 percent) of the MPFS amount. Medical CPT codes are critical to streamlining reporting and increasing accuracy and efficiency, as well as for administrative purposes such as claims processing and developing guid. A HCPCS/CPT code should be reported only if all services described by the code are performed. 0000009629 00000 n The below table identified procedure codes that are not eligible for reimbursement when reported by an Assistant Surgeon. Surgery: Cardiovascular System 1. First Coast Service Options Inc. (First Coast) would like to remind providers within jurisdiction N (JN) of the appropriate use of assistant at surgery modifiers and payment under the Medicare physician fee schedule (MPFS). 20610 $59.00 82 Assistant surgeon (when a qualified resident surgeon is not available in a teaching facility): This modifier applies to physicians services only. College of Surgeons as its primary source for determining if an assistant surgeon is clinically valid for a, CMS Manual SystemCMS Manual System . The reimbursement amount is dependent upon the assistant surgeon modifier appended to the surgical code submitted. You shall not remove, alter, or obscure any ADA copyright notices or other proprietary rights notices included in the materials. 0000015666 00000 n 21031 $295.00 21026 $397.00 No fee schedules, basic unit, relative values or related listings are included in CDT. 0000069053 00000 n The following modifiers should be used by the supervising physician when he/she is billing for services rendered by a Physician Assistant (PA), Advanced Practice Nurse (APN) or Certified Registered Nurse First Assistant (CRNFA): AS Modifier: A physician should use this modifier when billing on behalf of a PA, APN or CRNFA for services provided when the aforementioned providers are acting as an assistant during surgery. CMS Internet Only Manual (IOM) Reason & Remark Codes ; Acronyms and Glossary ; Calculators/Tools : External Resources; www.CMS.gov ; Assistant Surgeon Policy Oxford Health Plans. Visit the AMA Store for coding resources from the authoritative source on the CPT code set. endobj 20922 $504.00 The circumstance explaining that a resident surgeon was not available must be documented in the medical record. Modifier "20" is for use of the microscope. (Modifier AS to be used ONLY if they assist at surgery), SA Modifier: A supervising physician should use this modifier when billing on behalf of a PA, APN, of CRNFA for non-surgical services. 20501 $23.44 21070 $601.17 Procedures with a global period of MMM are maternity procedures. 21138 $859.11 Specific issues unique to this section of CPT are clarified in this Chapter. Included are treatment for Hansen's Disease, pulmonary . 0000069315 00000 n List. Up Next. Any communication or data transiting or stored on this system may be disclosed or used for any lawful Government purpose. Radiology. All procedures with a global period of ZZZ are related to another procedure, and the applicable global period for the ZZZ code is determined by the related procedure. endobj Reimbursement Policies. 1. While reimbursement is considered, payment determination is subject to, but not limited to: In instances where the provider is participating, based on member benefits, co-payment, coinsurance, and/or deductible shall apply. All our content are education purpose only. First Assistant Not Payable Under Medicare for 2017 Page 2. 20805 $3,089.63 This article introduces the Janssen single dose vaccine code (91303) and its associated administration code (0031A). Using the American Medical Associations Current Procedural Terminology (CPT) codes from the 2018 manual, each participating organization reviewed new or revised codes since 2016 and any other codes of interest that are applicable to their specialty and indicated whether the operation requires a physician as an assistant with the following frequency: almost always, almost never, or some of the time. The AMA warrants that due to the nature of CPT, it does not manipulate or process dates, therefore there is no Year 2000 issue with CPT. 21100 $270.00 These rates are provided for informational purposes only and are not to be considered a guarantee of payment. This includes items such as CPT codes, CDT codes, ICD-10 and other UB-04 codes. 21348 $1,064.51 21261 $2,123.76 Medicare only covers three immunizations (influenza, pneumonia, and hepatitis B) as prophylactic physician services. Pre-exposure prophylaxis is one of the Affordable Care Act (ACA) preventive services at risk in federal court, says Stephen Parodi, MD. o%{W xBb]OaNiKK3w8@l#qSJ!K0EJH0qlP|l`I"|4s?-+Mqg5AhA QoB{O. Added a note that codes are updated quarterly. $hdzG@x&w9|!t$L\>~cohW?`/`Gs^!f&Y=3GAr~$$~~>~Va O List. 0000006934 00000 n CPT 29806 is not payable for the assistant and the add-on code is only payable when the parent code is paid. 21142 $1,243.31 2023 Noridian Healthcare Solutions, LLC Terms & Privacy. Psychological and Neuropsychological Testing 20150 $850.85 which insurance is primary. CPT Code Reimbursement <> 21282 $322.17 21179 $1,388.01 The Allowable . If he only performs the laparotomy . The assistant at surgery procedure code eligible list is developed based on The Center for Medicare & Medicaid Services (CMS) Physician Fee Schedule (PFS) Relative Value Unit (RVU) File status indicators. 21181 $595.00 All procedures with a global period of ZZZ are related to another procedure, and the applicable global period for the ZZZ code is determined by the related procedure. 15772, 15774 CPT codes 15772 and 15774 are exempt from the modifier 51 cutback. <> Septal Defect and CPT-4 codes 33675 33677 (closure Reimbursement is not allowed for more than one assistant surgeon. 0 VP 3P X 21150 $1,586.39 43846 80 . Please reach out and we would do the investigation and remove the article. Providers must list this code separately in addition to the code for the primary procedure. Current Procedural Terminology (CPT) codes provide a uniform nomenclature for coding medical procedures and services. Confidential 20605 $50.31 The revenue codes and UB-04 codes are the IP of the American Hospital Association. Updated cross references and policy format. It also provides guidance on the . 21337 $300.00 var url = document.URL; Gastric Bypass for Morbid Obesity. Assistant surgeon CPT codes not covered list 3000 39400 30000 procedure codes that are "Nevers" for assistant surgeon. These rates are provided for informational purposes only and are not to be considered a guarantee of payment.Actual payment will be based on Health Options policies, procedures, and Customer Benefit Plans. If multiple services are submitted with modifiers indicating assistants at surgery, each service is independently reviewed (based on the above-listed indicators) to determine payment. CPT/Modifier. (Examples: Obstetrical Billing & Multiple Birth Guidelines Quick Reference Guide . This type of unbundling is incorrect coding. Were all CPT codes reviewed for Assistant-at-Surgery eligibility? 20936 $204.00 startxref For example: If a general surgeon bills as co-surgeon on CPT code 22558, then he is paid to assist in the entire procedure not just the laparotomy portion. The American Medical Association (AMA) has several resources to help accurately bill procedures and services with the Current Procedural Terminology (CPT) code set and Healthcare Common Procedure Coding System (HCPCS) codes. One assistant surgeon is allowed per procedure code/surgery. State Exceptions Colorado Colorado is exempt from this policy. a. Download AMA Connect app for 0000005394 00000 n THE LICENSES GRANTED HEREIN ARE EXPRESSLY CONDITIONED UPON YOUR ACCEPTANCE OF ALL TERMS AND CONDITIONS CONTAINED IN THESE AGREEMENTS. CPT Codes, Descriptors, , Surgery: Cardiovascular System (surg Cardio), Reimbursable for a second assistant surgeon. 21120 $457.00 Some general guidelines to help in the submission of an NDC drug code include: Submit an NDC code along with the appropriate HCPCS or CPT drug code and the number of HCPCS/CPT drug code units. Kidney disease can be prevented, and even reversed in its early stages. When reporting services provided by non-physician practitioners acting as assistants at surgery, append modifier AS to the procedure code used to report the surgeons service. CPT/HCPCS codes allowed for assistant surgeon reimbursement) to reflect annual code edits: o Added 54437 and 54438 o Removed 21810, 33332, 33472, 33960, 42508, 43350, MODIFIERS - Professional Claims - BCBSTX MODIFIERS - Professional Claims Effective 8/27/07 Blue Cross and Blue Shield of Texas/HMO Blue Texas accept all valid CPT and HCPCS If you find anything not as per policy. Note: This modifier is used in the private insurance industry and is not commonly used in Medicare billing. 20931 $110.44 Where allowed, there can only be one assistant surgeon. Applications are available at the AMA Web site, https://www.ama-assn.org. LICENSE FOR NATIONAL UNIFORM BILLING COMMITTEE ("NUBC"), Point and Click American Hospital Association Copyright Notice, Copyright 2021, the American Hospital Association, Chicago, Illinois. Therefore, you have no reasonable expectation of privacy. 0000004872 00000 n 0000002288 00000 n License to use CDT for any use not authorized herein must be obtained through the American Dental Association, 211 East Chicago Avenue, Chicago, IL 60611. No allowance is made for codes 64727 or 61712 (Microsurgery). Please click here to see all U.S. Government Rights Provisions. When a surgeon is unavailable to serve as an assistant, a qualified surgical resident or other qualified health care professional, such as a nurse practitioner or physician assistant with experience in assisting, may participate in operations, according to the ACSStatements on Principles. 29 0 obj registered for member area and forum access, https://www.cms.gov/apps/physician-fee-schedule/search/search-results.aspx?Y=0&T=1&HT=0&H1=69990&M=5, https://www.cms.gov/apps/physician-fee-schedule/search/search-criteria.aspx, http://www.cms.gov/Medicare/Coding/ect=/NationalCorrectCodInitEd/NCCIEP/list.asp, http://www.cms.gov/Outreach-and-Edus/downloads/How_to_MPFS_Booklet_ICN901344.pdf, https://www.novitas-solutions.com/partb/reimbursement/mfsdbhelp.html, https://www.noridianmedicare.com/partb/fees/docs/2013/2013_mpfs_indicator_descriptors.pdf. All rights reserved. In fact, Medicare does not. `[ELd}CGa= F(!V: =Q 0VB5 W5*WuU}8-cPZ99%t/50 trailer Mohs surgical procedure may extend beyond the initial date of service, thus there are 3 Add-on codes (+17312, +17314 . 20920 $373.77 A single surgeon cannot be both the primary and assistant surgeon. Not every residency match is made to last, as more than 1,000 residents transfer programs each year. The surgeon typically pays the co-surgeon/assistant out of the revenue . 21040 $294.00 Modifier 90; Reference (Outside) Laboratory . Unauthorized or illegal use of the computer system is prohibited and subject to criminal and civil penalties. 20824 $2,166.45 HCPCS/CPT codes include all services usually performed as part of the procedure as a standard of medical/surgical practice. Assistant surgeons submit procedure code (s), with the appropriate modifier appended (80, 81, 82, or AS) to represent their service (s). the assistant surgeon indicator in the Professional Services Fee Schedule to determine if assistant surgeon fees are payable. Appropriate use of assistant at surgery modifiers and payment indicators. 3 surg cardio. Register for the 2023 webinar, "Connecting Promise and Practice: The Trajectory of Digitally Enabled Care.". 20245 $428.00 Accordingly, pay claims for procedures with these modifiers only if the services of an assistant-at-surgery are authorized. Supervision of Physician Assistant, Advanced Practice Nurse or Certified Registered Nurse First Assistant. 20827 $1,844.00 21154 $2,034.89 <>stream 0000004509 00000 n Assistant Surgeon Charges , Payment Of Assistant At Surgery Services In A Method II , (minimum assistant surgeon), or 82 (when qualified resident surgeon not available). 20902 $290.70 Reproduced with permission. The HOD speakers welcome comments for reports under development for the upcoming Interim and Annual Meetings. This license will terminate upon notice to you if you violate the terms of this license. 20000 21249 23655 25259 26416 27060 27686 28200 29105, 20005 21280 23665 25260 26418 27062 27695 28208 29125, 20101 21282 23675 25270 26426 27086 27696 28220 29126, 20103 21295 23700 25272 26428 27093 27704 28222 29130, 20200 21296 23921 25274 26432 27095 27707 28225 29131, 20205 21310 23930 25275 26433 27096 27726 28226 29200, 20206 21315 23931 25280 26437 27175 27730 28230 29220, 20220 21320 23935 25290 26440 27185 27732 28232 29240, 20225 21325 24000 25295 26442 27193 27734 28234 29260, 20240 21330 24065 25337 26445 27194 27750 28240 29280, 20245 21335 24066 25450 26449 27200 27752 28270 29305, 20500 21336 24075 25455 26450 27220 27760 28272 29325, 20501 21337 24076 25500 26455 27222 27762 28280 29345, 20520 21338 24077 25505 26460 27230 27766 28285 29355, 20525 21345 24105 25520 26471 27232 27767 28286 29358, 20526 21355 24110 25530 26476 27235 27768 28288 29365, 20550 21356 24120 25535 26477 27238 27769 28289 29405, 20551 21400 24130 25560 26478 27240 27780 28290 29425, 20552 21421 24136 25565 26480 27246 27781 28307 29435, 20553 21440 24145 25600 26489 27250 27784 28309 29440, 20555 21450 24147 25605 26490 27252 27786 28310 29445, 20600 21451 24153 25606 26496 27256 27788 28312 29450, 20605 21452 24160 25622 26500 27257 27792 28313 29505, 20610 21453 24164 25624 26508 27265 27808 28315 29515, 20612 21454 24200 25630 26510 27266 27810 28344 29520, 20615 21480 24201 25635 26516 27275 27816 28345 29530, 20650 21485 24220 25650 26520 27301 27818 28400 29540, 20660 21497 24300 25651 26525 27307 27824 28405 29550, 20661 21501 24305 25652 26535 27323 27825 28406 29580, 20662 21510 24310 25660 26536 27324 27830 28430 29581, 20663 21550 24332 25671 26540 27327 27831 28435 29590, 20664 21555 24357 25675 26542 27328 27840 28436 29700, 20665 21556 24358 25680 26545 27330 27842 28450 29705, 20670 21800 24359 25690 26548 27340 27860 28455 29710, 20680 21805 24495 25900 26567 27370 27882 28456 29715, 20690 21820 24500 25920 26591 27372 27884 28470 29720, 20693 21920 24505 25927 26593 27391 27886 28475 29730, 20694 21925 24530 25931 26600 27425 27889 28476 29740, 20910 21930 24535 26010 26605 27437 27892 28490 29750, 20912 21935 24538 26011 26607 27475 27893 28495 29800, 20920 22010 24560 26020 26608 27477 28001 28496 29805, 20926 22015 24565 26025 26615 27485 28002 28505 29819, 20930 22305 24566 26030 26641 27496 28003 28510 29830, 20931 22310 24576 26034 26645 27497 28005 28515 29838, 20950 22315 24577 26035 26650 27500 28008 28525 29840, 20974 22505 24582 26037 26665 27501 28010 28530 29846, 20979 22520 24600 26040 26670 27502 28011 28531 29848, 20982 22521 24605 26045 26675 27503 28020 28540 29850, 20985 22522 24620 26055 26676 27508 28022 28545 29870, 20986 22523 24640 26060 26685 27509 28024 28546 29871, 20987 22524 24650 26070 26700 27510 28035 28570 29873, 21010 22525 24655 26075 26705 27516 28041 28575 29874, 21025 22526 24670 26080 26706 27517 28043 28576 29875, 21026 22527 24675 26100 26715 27520 28045 28600 29876, 21029 23030 24935 26105 26720 27530 28046 28605 29877, 21030 23031 25000 26110 26725 27532 28050 28606 29879, 21031 23044 25001 26115 26727 27538 28052 28630 29880, 21032 23065 25020 26116 26735 27550 28054 28635 29881, 21040 23066 25023 26117 26740 27552 28055 28636 29886, 21046 23075 25024 26121 26742 27560 28060 28660 29891, 21050 23076 25025 26123 26746 27562 28062 28665 29892, 21070 23101 25028 26125 26750 27570 28070 28666 29893, 21073 23106 25031 26130 26755 27594 28072 28675 29900, 21076 23130 25035 26135 26756 27596 28080 28755 29901, 21077 23140 25040 26140 26765 27600 28088 28805 29902, 21079 23146 25065 26145 26770 27601 28090 28810, 21080 23170 25066 26160 26775 27603 28092 28820, 21081 23180 25075 26170 26776 27604 28108 28825, 21082 23330 25076 26180 26785 27605 28110 28890, 21083 23350 25100 26200 26841 27606 28111 29000, 21084 23415 25101 26205 26850 27607 28112 29010, 21085 23480 25105 26210 26860 27610 28113 29015, 21086 23500 25109 26215 26861 27613 28119 29020, 21087 23505 25110 26230 26910 27614 28120 29025, 21088 23520 25111 26235 26951 27618 28124 29035, 21100 23525 25112 26236 26952 27619 28126 29040, 21110 23540 25118 26250 26990 27630 28140 29044, 21116 23545 25120 26320 26991 27635 28150 29046, 21120 23570 25130 26340 26992 27640 28153 29049, 21208 23575 25150 26350 27000 27641 28160 29055, 21210 23600 25210 26356 27040 27648 28173 29058, 21215 23605 25230 26370 27041 27652 28175 29065, 21230 23620 25240 26410 27043 27664 28190 29075, 21235 23625 25246 26412 27047 27680 28192 29085, 21248 23650 25248 26415 27050 27681 28193 29086, CPT modifiers 25 Usage example and most asked question where and when to use, does Modifiers affecting payment and reimbusement, Important Modifiers with definition and when to use, Most asked question on Modifier 50, 59, 79, CPT CODE 80050, 80053, 84443 Comprehensive Metabolic Panel, CPT 59400 Obstetrical care (antepartum, delivery, and postpartum care), ESOPHAGOGASTRODUODENOSCOPY EGD CPT CODE LIST 43239, 43235 ,43244, 43245, COBRA Qualifying Events , coverage, definitions and Premiums, CPT code 99211 Billing Guide, office visit documentation, Medicare CPT code G0444, 99420 covered ICD and frequency, CPT 97140, 97530, 97112, 97760, 97750 Therapeutic procedure, CPT 95921 , 95922- 95943 Autonomic function tes. 21137 $679.31 20205 $238.00 20615 $124.00 Confidential 0000002200 00000 n 21016 $1,018.03 If appropriate, more than one modifier may be used with a single procedure code; however, are not applicable for every category of the CPT codes. Several general guidelines are repeated in this Chapter. 20694 $354.00 Ua:Te'vIBcjxD?8hX`h:P0B#::\F!%4 ?cX4bk* ?21j3$ y]~3htrrppC oa\;33. Council on Long Range Planning & Development. Keep in mind that determination of coverage under a member's plan does not necessarily ensure reimbursement . Issue briefs summarize key health policy issues by providing concise and digestible content for both relevant stakeholders and those who may know little about the topic. 33 0 obj Assistant at surgery may be paid. endobj 0000017177 00000 n Several general guidelines are repeated in this Chapter. AMA Disclaimer of Warranties and Liabilities Surgery: Cardiovascular System 1. Physicians who knowingly and willfully violate this prohibition and bill a beneficiary for an assistant-at-surgery service for these procedures may be subject to the penalties contained under 1842(j)(2) of the Social Security Act (the Act.) 1. Modifier Description Role 80 Assistant Surgeon Provides full assistance to the primary surgeon and capable of taking over the surgery should the primary surgeon become incapacitated. 0000005150 00000 n 21195 $1,240.00 A HCPCS/CPT code should be reported only if all services described by the code are performed. Medicares policies on billing patients in excess of the Medicare allowed amount apply to assistant-at-surgery services. b. Assistant at surgery may not be paid. stream 21215 $941.22 Access reports from the Council on Medical Education presented during the AMA Annual and Interim Meetings. 0000023372 00000 n 20526 $66.00 Some of the Provider information contained on the Noridian Medicare web site is copyrighted by the American Medical Association, the American Dental Association, and/or the American Hospital Association. Find information about the summary of panel actions, a document prepared after each meeting of the CPT editorial panel. 0000004824 00000 n 20955 $2,425.66 0000008064 00000 n 21315 $181.00 0000031389 00000 n 5/1/2020: N/A: Co-Surgeon/Team Surgeon Modifiers: CPCP009: 10/27/2022: View: Drug Testing Clinical Payment and Coding Policy: CPCP020: 12/29/2021: . Gastric Bypass for Morbid Obesity. NOTE: Physicians acting as assistants cannot bill as co-surgeons. Physicians should not bill CPT code 99417 with the following CPT codes: 99354, 99355, 99358, 99359, 99415, or 99416. 0000005463 00000 n allowed amount or eligible expense in benefit plan documents). Up Next. A TAR is required for the primary surgeon and assistant surgeon services are not reimbursable. This modifier is not intended for use by non-physician providers. 21295 $164.32 CPT Codes, Descriptors, , Surgery: Cardiovascular System (surg Cardio)Reimbursable for a second assistant surgeon. A physician, nurse practitioner, physician assistant or clinical nurse specialist who is authorized to provide such services under state law can serve as an assistant at surgery. However, those general guidelines from Chapter I not discussed in this Chapter are nonetheless applicable. Article. 25 Significant, separately identifiable E&M service same practitioner same day May allow E&M payment separate from another service; requires supporting documentation : 26 Professional component: Pays professional component only (*refer to practitioner fee schedule, Notes A, B, C) 50 Bilateral procedure: Bill procedure code one time with modifier and quantity "1" to indicate bilaterals . CPT Assistant ; CPT Manual, including code definitions and associated text ; Federal Register ; . AMA CPT-4 codes, undergo revision by their governing entities on a regular basis. 1. endobj 0000004889 00000 n 2 Surgery: Cardiovascular System ____ 2014 . Explore reports on this topic from the Council on Medical Education presented during the AMA Interim and Annual Meetings. What Is a CPT Code and Where Can You Find It? CDT is a trademark of the ADA. 21159 $2,543.33 1 = Statutory payment restriction for assistants at surgery applies to this procedure. Assistant surgeons' Fees Should Be Paid For Almost All Assistant surgeons' fees should be paid for surgeon for these procedures has been found so indisputably necessary that Medicare and Medicaid pay nation-wide for an assistant surgeon for procedure codes: 28289 which lists all of the surgical CPT codes and indicates whether there is a , Assistant At Surgery (Modifiers 80/81/82/AS) Providers Subject: Assistant at Surgery (Modifiers 80/81/82/AS) Effective Date: Services should be billed with CPT codes, reductions to the assistant surgeon in accordance with Louisiana Department of Health and Hospitals . A physician should not separately report these services simply because HCPCS/CPT codes exist for them. The ADA expressly disclaims responsibility for any consequences or liability attributable to or related to any use, non-use, or interpretation of information contained or not contained in this file/product. "{kAsi_k|'|4 ,bBHc`vQ $\X(?q|NXYq_a}[|[aOQb`Rf,P`GY(](?O?z_. The 2018 report adds 93 codes that the CPT Editorial Panel has approved since the last report was issued in 2016. 21188 $1,540.41 The reimbursement amount is dependent upon the assistant surgeon modifier appended to the surgical code submitted. Additions and deletions to the 2023 AMA Current Procedural Terminology (CPT) code set describe myriad methods for delivering behavioral health care. Assistant surgeons submit procedure code(s), with the appropriate modifier appended (80, 81, 82, or AS) to represent their service(s). CMS Disclaimer Note: To search for a specific modifier, enter "Mod" and the applicable modifier (e.g. 21032 $293.00 endobj startxref 21139 $955.93 The AMA promotes the art and science of medicine and the betterment of public health.