cpt codes that allow assistant surgeon 2020

`[ELd}CGa= F(!V: =Q 0VB5 W5*WuU}8-cPZ99%t/50 0000067715 00000 n Procedures billed with the assistant-at-surgery physician modifiers -80, -81, -82, or the AS modifier for physician assistants, nurse practitioners and clinical nurse specialists, are. 0000000016 00000 n A single surgeon cannot be both the primary and assistant surgeon. When a provider reports an eligible procedure with modifier 62 appended, reimbursement will be 125% of the allowed amount, divided equally between the co-surgeons. iv(hm5I s>OAhz$ 5)hU!a&L %/EL.Li2V^](Q%c?Vc yA^A*2=Fi7^? ' CPT Assistant ; CPT Manual, including code definitions and associated text ; Federal Register ; . U.S. Government rights to use, modify, reproduce, release, perform, display, or disclose these technical data and/or computer data bases and/or computer software and/or computer software documentation are subject to the limited rights restrictions of DFARS 252.227-7015(b)(2)(June 1995) and/or subject to the restrictions of DFARS 227.7202-1(a)(June 1995) and DFARS 227.7202-3(a)June 1995), as applicable for U.S. Department of Defense procurements and the limited rights restrictions of FAR 52.227-14 (June 1987) and/or subject to the restricted rights provisions of FAR 52.227-14 (June 1987) and FAR 52.227-19 (June 1987), as applicable, and any applicable agency FAR Supplements, for non-Department Federal procurements. Added a note that codes are updated quarterly. 4. Patient has WC and Medicare insurance? 21295 $164.32 21325 $333.00 Current Procedural Terminology (CPT) codes provide a uniform nomenclature for coding medical procedures and services. 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. End Users do not act for or on behalf of the CMS. Actual payment will be based on Health Options policies, procedures, and Customer Benefit Plans, Reimbursement by Procedure Codes 20000 29999Effective Jan. 1, 2015. 474 49 References Assistant at surgery modifiers Bernadine Singh Chief Medical Fee Examiner CPT Codes and Fees, Effective January 1-June 30, 2015: ABBREVIATIONS: Asst Surg = assistant surgeon allowed, BM = bilateral modifier, , Obstetrical Billing & Multiple Birth Guidelines Quick , Surgical Complications These services should be coded separately using CPT codes from the Surgery section of the CPT manual. Unauthorized or illegal use of the computer system is prohibited and subject to criminal and civil penalties. On June 30, 2009, within the post-op period of the cataract removal surgery, a YAG laser capsulotomy (CPT code 66821) was performed on the right eye. 61 0 obj The report is available on the ACS website. Valid indicators are: 0 = Payment restriction for assistants at surgery applies to this procedure unless supporting documentation is submitted to establish medical necessity. CPT Codes and Fees, Effective January 1, 2014. 0000019895 00000 n 0000005853 00000 n 0000001036 00000 n 0000070377 00000 n The deadline to claim CME credit for the March issue is May 31, 2022. the assistant surgeon indicator in the Professional Services Fee Schedule to determine if assistant surgeon fees are payable. 0000009629 00000 n <>stream <> 21338 $483.00 20662 $441.73 Find information about CPT Category I Vaccine Codes. Obstetrical Billing & Multiple Birth Guidelines Quick Surgical Complications These services should be coded separately using CPT codes from the Surgery section of the CPT manual. It may not display this or other websites correctly. However, those general guidelines from Chapter I not discussed in this Chapter are nonetheless applicable. endobj 21355 $316.00 Department of Health & Human . Reimbursement Policies. reimbursable for primary and assistant surgeon services. 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.) All rights reserved. 20553 $29.00 You should also use Modifier AS when you need to indicate that a PA, When denying non-covered assistant at surgery services for HCPCS/CPT codes, Assistant Surgery Modifiers Medicare Fee Schedule, Payment Assistant surgery modifiers To report services of an assistant surgeon, the following surgical modifiers should be appended: 80 Assistant Surgeon: This modifier pertains to physicians services only. 2 = Payment restrictions for assistants at surgery does not apply to this procedure. All procedures with a global period of ZZZ are related to another procedure, and the applicable global period for the ZZZ code is determined by the related procedure. The AMA is your steadfast ally from classroom to Match to residency and beyond. e!l8aMlymM]|N^"o@sP+y~fj_WsAls hxh1iM)m O#t0@_]!=ip<4hr] 4(t"yLgn``t0PbaKJ]/,9^eFib|Jze s}Z,6$|jjE8y~w `A'7MRzs!Qa/_}$ ?@rS0H@Xt{w_VUQ"(,1N#b 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. 2020 CPT CODE ADDITIONS 2 92202 One of the following ICD-10-CM diagnosis codes is required on the claim: B39.4, B39.5, B39.9, B58.01, . 21048 $965.00 Kidney disease can be prevented, and even reversed in its early stages. Assistant Surgeon Policy: Reimbursement Policy (Effective 01/11/2016) 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 Effective 8/27/07 Blue Cross and Blue Shield of Texas/HMO Blue Texas accept all valid CPT and HCPCS Assistant Surgeon Modifiers Modifier 80, 81, 82: Denote assistant surgeons. 21256 $1,089.96 20805 $3,089.63 0000018245 00000 n 0000001757 00000 n 21347 $1,008.00 IF YOU DO NOT AGREE WITH ALL TERMS AND CONDITIONS SET FORTH HEREIN, CLICK ABOVE ON THE LINK LABELED "I Do Not Accept" AND EXIT FROM THIS COMPUTER SCREEN. 21049 $1,097.00 <>/Metadata 280 0 R/ViewerPreferences 281 0 R>> If an assistant surgeon is utilized, allow the primary co-surgeons 50% of the allowed fee. The HOD speakers welcome comments for reports under development for the upcoming Interim and Annual Meetings. x=k]o'my8]*Ud7v8ko]6Zo~%n4~~kV m[-ef/SufspbZ?1xn_8 DE 0vW]y#?=p?: 0"W2/"(2[ida_(?.(W?/y{@0J:e^r"l0f*u7sysd|76s!8>(K,2CD? 0000002200 00000 n 2023 Noridian Healthcare Solutions, LLC Terms & Privacy. These rates are provided for informational purposes only and are not to be considered a guarantee of payment. if(pathArray[4]){document.getElementById("usprov").href="/web/"+pathArray[4]+"/help/us-government-rights";} 21248 $1,135.13 Assistant surgeons should bill the same CPT surgical procedure codes as the primary surgeon with either modifier "80" or "82." Assistant surgeons are reimbursed at a percentage of the allowed amount for primary surgeons. Please click here to see all U.S. Government Rights Provisions. endobj These rates are provided for informational purposes only and are not to be considered a guarantee of payment. To license the electronic data file of UB-04 Data Specifications, contact AHA at (312) 893-6816. % The circumstance explaining that a resident surgeon was not available must be documented in the medical record. trailer 0000005235 00000 n This is determined through manual reviews. 20240 $200.00 If you're still looking, they're called key status indicators: To elaborate on the information provided above, here is a How To booklet by CMS to help with the entire fee schedule that is very helpful. 21267 $1,489.00 In this episode of Making the Rounds, learn about one resident's experience of not matching, offering insight on coping and how unmatched applicants can find a position. CPT Code Reimbursement 21270 $833.21 21275 $754.82 JavaScript is disabled. <<4920F65ACFB5B2110A0060FF8C42FF7F>]/Prev 129922>> Another surgeon. 21150 $1,586.39 Penalties vary based on the frequency and seriousness of the violation. 0000017177 00000 n Several general guidelines are repeated in this Chapter. If an entity wishes to utilize any AHA materials, please contact the AHA at 312-893-6816. Assistant at surgery - Though not explicitly defined in 8 CCR 9789.16.8, an assistant at surgery is a physician or non-physician practitioner who actively assists the surgeon and goes beyond providing ancillary services. 0000068681 00000 n 0000004889 00000 n If you find anything not as per policy. CPT-4. 20250 $349.47 21145 $1,415.00 Indiana Indiana uses their own defined diagnosis list for Cesarean Deliveries. No fee schedules, basic unit, relative values or related listings are included in CPT. Gastric Bypass for Morbid Obesity. This product includes CPT which is commercial technical data and/or computer data bases and/or commercial computer software and/or commercial computer software documentation, as applicable which were developed exclusively at private expense by the American Medical Association, 515 North State Street, Chicago, Illinois, 60610. One assistant surgeon is allowed per procedure code/surgery. LICENSE FOR NATIONAL UNIFORM BILLING COMMITTEE ("NUBC"), Point and Click American Hospital Association Copyright Notice, Copyright 2021, the American Hospital Association, Chicago, Illinois. 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. Where allowed, there can only be one assistant surgeon. var pathArray = url.split( '/' ); 21015 $403.66 For Medicare purposes, modifiers are two-digit codes that may consist of alpha and/or numeric characters, which may be appended to Healthcare Common Procedure Coding System (HCPCS) procedure codes to provide additional information needed to process a claim. CPT Codes, Descriptors, , Surgery: Cardiovascular System (surg Cardio)Reimbursable for a second assistant surgeon. Evaluation and Management (E&M) Services Medicare Global Surgery Rules define the rules for reporting evaluation and management (E&M) services with procedures covered by these rules. What Patients Can Learn From Current CPT Codes. All our content are education purpose only. 20972 $2,240.70 1 Modifiers" Current Procedural Terminology (CPT). PAs, MDs, and NPs. B. A TAR is required for the primary surgeon and assistant surgeon services are not reimbursable. <>stream 20612 $54.93 0000069053 00000 n Medicare considers advanced registered nurse practitioner (ARNP), physician assistant (PA), and clinical nurse specialist (CNS) as non-physician practitioners. Making copies or utilizing the content of the UB-04 Manual or UB-04 Data File, including the codes and/or descriptions, for internal purposes, resale and/or to be used in any product or publication; creating any modified or derivative work of the UB-04 Manual and/or codes and descriptions; and/or making any commercial use of UB-04 Manual / Data File or any portion thereof, including the codes and/or descriptions, is only authorized with an express license from the American Hospital Association. 43846 80 . 0000013889 00000 n 21120 $457.00 21160 $2,679.94 21247 $1,543.98 34717 CPT code 34717 is exempt from the modifier 51 cutback. Download the app via the Apple Store, Google Play, or Amazon. Assistant Surgeon Charges , Payment Of Assistant At Surgery Services In A Method II (minimum assistant surgeon), or 82 (when qualified resident surgeon not available). 21385 $666.31 20936 $204.00 Pathology and Laboratory. The scope of this license is determined by the ADA, the copyright holder. 20926 $361.00 Answer: Most payors will not reimburse 3 providers (2 co-surgeons and 1 assistant) on the same CPT code, 19364. Users must adhere to CMS Information Security Policies, Standards, and Procedures. 21142 $1,243.31 Physicians should report the HCPCS/CPT code that describes the procedure performed to the greatest specificity possible. 0000009465 00000 n Up Next. Up Next. AMA Disclaimer of Warranties and Liabilities Reproduced with permission. These rates are provided for informational purposes only and are not to be considered a guarantee of payment. 20900 $373.00 NDC code must follow the 11-digit billing format with no spaces, hyphens or special characters in the number. The AMA 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. Minimal surgical assistance may be identified by adding the modifier 81 to the usual procedure code, and describes an assistant surgeon providing minimal assistance to the primary surgeon. 5. There are times in which the various content contributor primary resources are not synchronized or updated on the same time interval. 21181 $595.00 x]1n0^ 3(/`q 8RZA^H+#mZ__m>uDy}iwo=^h_{;"^Om,WxR'j*gC. The Internet-Only Manuals (IOM), Medicare Claims Processing Manual, Publication 100-04, Chapter 12, Section 20.4.5 (Allowable Adjustments) limits the reporting of use of an operating microscope (CPT code 69990) to procedures described by CPT codes 61304-61546, 61550-61711, 62010-62100, 63081-63308, 63704-63710, 64831, 64834-64836, 64840-64858, 20694 $354.00 20697 $1,248.21 These materials contain Current Dental Terminology, (CDT), copyright 2020 American Dental Association (ADA). The AMA disclaims responsibility for any errors in CPT that may arise as a result of CPT being used in conjunction with any software and/or hardware system that is not Year 2000 compliant. Reimbursement by Procedure Codes 20000 29999 Effective Jan. 1, 2015 4. The ADA does not directly or indirectly practice medicine or dispense dental services. CPT Code Reimbursement 21199 $950.84 0000015666 00000 n 20931 $110.44 which insurance is primary. HCPCS/CPT codes include all services usually performed as part of the procedure as a standard of medical/surgical practice. If this is your first visit, be sure to check out the. Before you can enter the Noridian Medicare site, please read and accept an agreement to abide by the copyright rules regarding the information you find within this site. Actual payment will be based on Health Options policies, procedures, and Customer Benefit Plans. 20922 $504.00 Continue Reading. 32 0 obj Confidential, 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. 20912 $457.99 0000003765 00000 n 21076 $900.00 20245 $428.00 21330 $488.00 Each month, the Senior Physician Sectionhighlights membersand individualsto showcase their work and current efforts. 21125 $780.00 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. The below table identified procedure codes that are not eligible for reimbursement when reported by an Assistant Surgeon. Medicares policies on billing patients in excess of the Medicare allowed amount apply to assistant-at-surgery services. 2. 20206 $109.00 26 0 obj 21184 $2,245.05 21110 $459.00 Gastric Bypass for Morbid Obesity. Assistant at surgery may be paid. 20663 $404.00 Ambulatory Surgical Center (ASC). 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). 21386 $620.31, 20000 series procedure codes that are Nevers for Assistant Surgeon, Designed by Elegant Themes | Powered by WordPress. CMS Internet Only Manual (IOM) Reason & Remark Codes ; Acronyms and Glossary ; Calculators/Tools : External Resources; www.CMS.gov ; Assistant Surgeon Policy Oxford Health PlansAssistant Surgeon Policy: Reimbursement Policy (Effective 01/11/2016) 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 BCBSTXMODIFIERS Professional Claims Effective 8/27/07 Blue Cross and Blue Shield of Texas/HMO Blue Texas accept all valid CPT and HCPCS Assistant Surgeon Modifiers Modifier 80, 81, 82: Denote assistant surgeons. 0000027606 00000 n 2 Surgery: Cardiovascular System ____ 2014 . 20225 $112.94 Actual payment will be based on Health Options policies, procedures, and Customer Benefit Plans. Telehealth provides a way for physicians to provide care while keeping patients safe in their homes. 0 The use of the information system establishes user's consent to any and all monitoring and recording of their activities. 21030 $394.00 You must log in or register to reply here. 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. 522 0 obj <>stream 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. We want to help physicians, facilities and other health care professionals submit claims accurately. The global concept does not apply to XXX procedures. 28 0 obj Assistant surgeon CPT codes Medical Billing CPT ModifiersAssistant surgeon CPT codes not covered list 3000 39400 30000 procedure codes that are "Nevers" for assistant surgeon. 21360 $490.80 0000003488 00000 n Septal Defect and CPT-4 codes 33675 33677 (closure Reimbursement is not allowed for more than one assistant surgeon. 0000020908 00000 n &*_Km/@T9 xa6|I/ZUS(X6N*~v]zw' NF_=T\QwcQ endobj 20982 $3,772.65 Code surg cardio. 21040 $294.00 Be Aware of Limitations CMS' Guidelines 20.4.3Assistant at Surgery Services (Rev. 3 surg cardio. Assistant surgeon CPT codes not covered list 3000 39400 30000 procedure codes that are "Nevers" for assistant surgeon. 20802 $2,362.52 4/2022. All Rights Reserved. 21137 $679.31 Evaluation and Management (E&M) Services Medicare Global Surgery Rules define the rules for reporting evaluation and management (E&M) services with procedures covered by these rules. Download the latest guides and resources for telehealth services. 20664 $581.00 This includes items such as CPT codes, CDT codes, ICD-10 and other UB-04 codes. 21244 $959.84 Medicare Fee Schedule, Payment and Reimbursement Benefit Guideline, Medicare revalidation process how often provide need to do FAQ, Step by step Guide Medicare participation program. 0000001301 00000 n CPT Codes, Descriptors, , Surgery: Cardiovascular System (surg Cardio), Reimbursable for a second assistant surgeon. 0000067999 00000 n 0000012547 00000 n 0000031621 00000 n 21138 $859.11 FOURTH EDITION. 21146 $1,479.00 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. The AMA does not directly or indirectly practice medicine or dispense medical services. 0000005463 00000 n 21336 $438.00 Reimbursement policies are intended only to establish general guidelines for reimbursement under BCBSND plans. 21193 $1,180.32 Current Procedural Terminology (CPT) codes provide a uniform nomenclature for coding medical procedures and services. Medicare Fee for Office Visit CPT Codes - CPT Code 99213, 99214, 99203; Medicare Fee Schedule, Payment and Reimbursement Benefit Guideline, . LICENSE FOR USE OF "CURRENT DENTAL TERMINOLOGY", ("CDT"). <> Mandated or legislative required criteria will always supersede. You now have the opportunity to claim CME credit for time spent reading the monthly Bulletin of the American College of Surgeons. 0000004776 00000 n Please reach out and we would do the investigation and remove the article. (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. CPT has responded by adding six new codes to report online digital evaluation services, or e-visits. 20251 $393.07 The CMS WILL NOT BE LIABLE FOR ANY CLAIMS ATTRIBUTABLE TO ANY ERRORS, OMISSIONS, OR OTHER INACCURACIES IN THE INFORMATION OR MATERIAL CONTAINED ON THIS PAGE. CDT is a trademark of the ADA. o%{W xBb]OaNiKK3w8@l#qSJ!K0EJH0qlP|l`I"|4s?-+Mqg5AhA QoB{O. 0000030598 00000 n This Agreement will terminate upon notice to you if you violate the terms of this Agreement. CPT Code Reimbursement a~mAi(0S4\yG2ql_{H4r 20005 $252.00 Android, The best in medicine, delivered to your mailbox. The principles of correct coding discussed in Chapter I apply to the CPT codes in the range 20000-29999. 20970 $2,681.13 21087 $1,775.09 Modifier 80 is appended to the surgical code when another surgeon is assisting at surgery. Should be submitted on those surgical, Procedure 1206- Assistant Surgeon Purpose: ProcedureProcedure 1206- Assistant Surgeon Lines of Business: All Purpose: This Network Health guideline describes services provided by assistant surgeons that Global cesarean section CPT codes submitted by an assistant surgeon will be reimbursed using the. 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. 21083 $1,358.00 0000003342 00000 n AMA CPT-4 codes, undergo revision by their governing entities on a regular basis. You, your employees and agents are authorized to use CPT only as contained in the following authorized materials: Local Coverage Determinations (LCDs), training material, publications, and Medicare guidelines, internally within your organization within the United States for the sole use by yourself, employees and agents. CPT/Modifier. The American College of Surgeons (ACS), in collaboration with 15 other national specialty surgical organizations, has recently published the eighth edition of thePhysicians as Assistants at Surgeryreport, a study first undertaken in 1994. 0000069971 00000 n In all the above instances, if an assistant surgeon is used, individual consideration will be used to determine if the assistant surgeon will be covered. NOTE: Physicians acting as assistants cannot bill as co-surgeons. Evaluation & Management, Medicine, Physical Therapy. 20600 $48.20 21143 $1,270.64 21034 $1,048.00 60000 procedure codes that are "Nevers" for assistant surgeon The below table identified procedure codes that are not eligible for reimbursement when reported by an Assistant Surgeon. Certain state contracts restrict benefits. This system is provided for Government authorized use only. 20670 $149.78 0000001740 00000 n Up Next. At any time, and for any lawful Government purpose, the government may monitor, record, and audit your system usage and/or intercept, search and seize any communication or data transiting or stored on this system. (CPT) History 1/00 Implementation 3/00 Reference to Blue Edge removed. Set yourself up for success with tips and tools on choosing a residency program. 20950 $131.00 No allowance is made for codes 64727 or 61712 (Microsurgery). All codes in the NPFS with the status code indicator "1" for "Assistant Surgeons" are considered by UnitedHealthcare Medicare Advantage to not be reimbursable for Assistant Surgeon services, as indicated by an Assistant Surgeon or surgical assistant modifier (80, 81, 82, or AS), and will not be allowed for payment. Assistant surgeon may be paid. 118. Designed by Elegant Themes | Powered by WordPress. CPT/HCPCS CPT/HCPCS CPT . A licensed physician assistant 3. The ACS maintains that a physician who assists with an operation should be trained to participate in and actively assist the surgeon in safely completing the operation. 21320 $222.72 Blue Cross Blue Shield of North Dakota is an independent licensee of the Blue Cross Blue Shield Association, serving residents and business in North Dakota. Use of CDT is limited to use in programs administered by Centers for Medicare & Medicaid Services (CMS). Access reports from the Council on Medical Education presented during the AMA Annual and Interim Meetings. Should be submitted on those surgical procedures where an assistant surgeon is warranted. maternity "Delivery only" codes may be eligible for assistant modifiers. 20974 $53.00 "{kAsi_k|'|4 ,bBHc`vQ $\X(?q|NXYq_a}[|[aOQb`Rf,P`GY(](?O?z_. hb```^V @16, ' 00oX>lbR{X`GX&~"IuEMe>grv%*:;kl`6 HxkVb5?}&H>d8`pC5BQ@Ko7sRw> , 20661 $377.00 Visit the AMA Store for coding resources from the authoritative source on the CPT code set. In no event shall CMS be liable for direct, indirect, special, incidental, or consequential damages arising out of the use of such information or material. <<77F8C580A035DD40AD1E242153D192BE>]>> Reimbursement by Procedure Codes 20000 29999 Effective Jan. 1, 2015 0000006934 00000 n A licensed physician assistant 3. What Is a CPT Code and Where Can You Find It? Supervision of Physician Assistant, Advanced Practice Nurse or Certified Registered Nurse First Assistant. 20824 $2,166.45 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

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