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20664 $581.00 An assistant surgeon actively assists the primary surgeon performing a surgical procedure. 0000001846 00000 n 0000031621 00000 n You should report inpatient consultation services using an Initial Hospital Care code (99221-99223) for the initial evaluation, and a Subsequent Hospital Care code (99231-99233) for subsequent visits. 21248 $1,135.13 21206 $1,019.00 In some cases, the service the physician provides may not meet the documentation requirements for the lowest level initial hospital visit (99221). Removed CMS Assistant at Surgery status indicator table. ADA DISCLAIMER OF WARRANTIES AND LIABILITIES. All Rights Reserved to AMA. If you find anything not as per policy. 21360 $490.80 Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CPT for resale and/or license, transferring copies of CPT to any party not bound by this agreement, creating any modified or derivative work of CPT, or making any commercial use of CPT. Actual payment will be based on Health Options policies, procedures, and Customer Benefit Plans. Palmetto GBA: , CPT Modifier 78 PDF Chapter 29: Surgery Services - Washington State Department of Labor Clinical Payment and Coding Policies | Blue Cross and Blue - BCBSIL 21198 $1,058.35 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. which insurance is primary. We want to help physicians, facilities and other health care professionals submit claims accurately. Providers must list this code separately in addition to the code for the primary procedure. 20956 $2,565.01 Up Next. This Agreement will terminate upon notice to you if you violate the terms of this Agreement. Copyright 1995 - 2023 American Medical Association. PDF Cesarean Delivery Policy, Professional - UHCprovider.com