The following is a list of procedure codes for which Medicare will not ...

The following is a list of procedure codes for which Medicare will not reimburse a firstassistant-at-surgery in 2013. The list consists of procedures which Medicare has determinedthat an assistant-at-surgery is required in fewer than 5% of the cases nationally. The listapplies to all first assistants, PAs, MDs and NPs.

Procedure Codes Subject to the Assistant at Surgery 5% ListNot Payale Under Medicare for 2013 page 1CPT/HCPCS CPT/HCPCS CPT/HCPCS CPT/HCPCS CPT/HCPCS CPT/HCPCS CPT/HCPCS CPT/HCPCS CPT/HCPCSG0104 11402 11772 14020 15736 17276 20501 21335 23650G0105 11403 11900 14021 15740 17280 20520 21346 23655G0105 11404 11901 14040 15760 17281 20525 21461 23665G0121 11406 11960 14041 15777 17282 20526 21480 23675G0121 11420 11970 14060 15781 17283 20527 21501 23700G0127 11421 11980 14061 15786 17284 20550 21550 23921G0168 11422 12001 15040 15787 17286 20551 21555 23930G0268 11423 12002 15050 15788 17311 20552 21556 239310226T 11424 12004 15100 15789 17312 20553 21800 240650227T 11426 12005 15101 15822 17313 20600 21820 240660228T 11440 12006 15110 15823 17314 20605 21920 240750229T 11441 12007 15111 15840 17315 20610 21925 240760230T 11442 12011 15115 15851 17340 20612 21930 240770231T 11443 12013 15116 15852 17360 20615 21935 241050232T 11444 12014 15120 15931 19000 20650 22015 241100302T 11446 12015 15121 15934 19001 20660 22305 241300303T 11450 12016 15130 15936 19020 20661 22310 241360304T 11470 12020 15131 15937 19030 20664 22315 241450307T 11600 12021 15135 15940 19100 20670 22505 241470308T 11601 12031 15136 15946 19101 20690 22520 2416010040 11602 12032 15150 15950 19102 20693 22521 2416410060 11603 12034 15151 15953 19103 20694 22522 2420110061 11604 12035 15152 15956 19105 20920 22523 2430010080 11606 12036 15155 15958 19110 20926 22524 2433210081 11620 12041 15156 16000 19120 20931 22525 2450010120 11621 12042 15157 16020 19125 20974 23030 2450510121 11622 12044 15200 16025 19126 20979 23031 2453010140 11623 12045 15201 16030 19290 20982 23044 2453510160 11624 12051 15220 16035 19291 21015 23065 2453810180 11626 12052 15221 16036 19300 21025 23066 2456011000 11640 12053 15240 17000 19328 21026 23075 2456511001 11641 12054 15241 17003 19330 21030 23076 2456611004 11642 12055 15260 17004 19340 21031 23101 2457611006 11643 13100 15261 17106 19350 21032 23106 2457711010 11644 13101 15271 17107 19370 21040 23130 2458211011 11646 13102 15272 17110 19371 21079 23140 2460011012 11719 13120 15273 17111 19380 21080 23170 2460511042 11720 13121 15274 17250 20005 21089 23180 2465011043 11721 13122 15275 17260 20101 21110 23350 2465511044 11730 13131 15276 17261 20102 21116 23415 2467011055 11732 13132 15277 17262 20200 21120 23480 2467511056 11740 13133 15278 17263 20205 21210 23500 2500011057 11750 13150 15570 17264 20206 21215 23505 2500111100 11752 13151 15572 17266 20220 21235 23540 2502011101 11760 13152 15574 17270 20225 21248 23570 2502411200 11762 13153 15576 17271 20240 21282 23600 2502811201 11765 13160 15620 17272 20245 21310 23605 2506511400 11770 14000 15630 17273 20250 21315 23620 2506611401 11771 14001 15732 17274 20500 21320 23625 25075

Procedure Codes Subject to the Assistant at Surgery 5% ListNot Payale Under Medicare for 2013 page 2CPT/HCPCS CPT/HCPCS CPT/HCPCS CPT/HCPCS CPT/HCPCS CPT/HCPCS CPT/HCPCS CPT/HCPCS CPT/HCPCS25076 26116 26742 27370 27766 28126 28606 29848 3123725077 26117 26746 27425 27767 28140 28636 29870 3125425109 26121 26750 27437 27768 28150 28645 29871 3125525110 26123 26755 27475 27769 28153 28660 29873 3125625111 26125 26765 27477 27780 28160 28666 29876 3126725112 26130 26770 27485 27781 28173 28675 29882 3127625115 26140 26775 27496 27784 28175 28755 29886 3150025118 26145 26776 27500 27786 28190 28820 29893 3150225150 26160 26785 27502 27788 28192 28825 30020 3150525230 26205 26860 27508 27792 28193 28890 30100 3151125246 26210 26861 27510 27808 28200 29065 30110 3151525248 26215 26910 27516 27810 28208 29075 30115 3152525259 26236 26951 27520 27816 28220 29085 30117 3152625260 26320 26952 27530 27818 28222 29086 30118 3153025290 26340 26989 27532 27824 28225 29105 30120 3153525295 26341 26990 27560 27840 28226 29125 30124 3153625337 26350 27000 27570 27842 28230 29126 30130 3154025430 26356 27040 27594 27884 28232 29130 30140 3154125445 26410 27041 27596 27886 28234 29131 30150 3154525450 26416 27043 27600 27889 28240 29200 30200 3154625455 26418 27047 27601 28001 28270 29240 30210 3157025500 26426 27060 27603 28002 28272 29260 30220 3157125505 26432 27062 27606 28003 28285 29280 30300 3157525520 26433 27093 27607 28005 28286 29345 30420 3157625530 26437 27095 27610 28008 28288 29355 30520 3157925535 26440 27096 27613 28010 28290 29358 30560 3158225560 26442 27185 27614 28011 28310 29365 30580 3160025565 26445 27193 27618 28020 28312 29405 30620 3160325600 26460 27200 27619 28022 28313 29425 30801 3160525605 26476 27220 27630 28024 28315 29435 30802 3161025606 26477 27222 27635 28035 28340 29440 30901 3161325622 26520 27230 27640 28043 28341 29445 30903 3161425630 26525 27232 27641 28046 28344 29450 30905 3161525650 26535 27235 27652 28050 28400 29505 30906 3162025652 26593 27238 27680 28052 28430 29515 30915 3162225671 26600 27240 27681 28060 28436 29530 30920 3162325931 26605 27246 27686 28062 28450 29540 30930 3162426010 26615 27250 27695 28070 28456 29550 31000 3162526011 26650 27252 27696 28072 28465 29580 31020 3162826020 26665 27265 27704 28090 28470 29700 31030 3162926034 26676 27266 27707 28092 28475 29705 31032 3163026040 26685 27275 27726 28108 28485 29720 31040 3163126045 26700 27301 27730 28110 28490 29730 31050 3163226055 26706 27323 27732 28111 28495 29740 31051 3163326070 26720 27324 27734 28112 28496 29805 31070 3163526075 26725 27327 27750 28116 28505 29806 31090 3163626080 26727 27328 27752 28119 28510 29807 31200 3163726110 26735 27330 27760 28120 28515 29819 31201 3163826115 26740 27340 27762 28124 28531 29830 31231 31640

Procedure Codes Subject to the Assistant at Surgery 5% ListNot Payale Under Medicare for 2013 page 3CPT/HCPCS CPT/HCPCS CPT/HCPCS CPT/HCPCS CPT/HCPCS CPT/HCPCS CPT/HCPCS CPT/HCPCS CPT/HCPCS31641 33228 36224 36640 38525 42804 43458 45339 4660031643 33229 36225 36800 38790 42806 43460 45340 4660431645 33230 36226 36810 38792 42808 43499 45341 4660631646 33231 36227 36815 39400 42809 43752 45342 4661031647 33233 36228 36822 40490 42826 43760 45345 4661431648 33234 36245 36823 40500 42962 43761 45355 4670031649 33235 36246 36835 40510 42970 44100 45378 4670631651 33240 36247 36860 40520 43200 44340 45378 4675331660 33241 36248 36861 40525 43201 44360 45379 4690031661 33244 36251 36870 40530 43202 44361 45380 4691031717 33249 36252 37140 40654 43204 44366 45381 4691631720 33262 36253 37184 40761 43206 44372 45382 4691731725 33263 36254 37185 40800 43215 44373 45383 4692231730 33264 36260 37186 40801 43217 44380 45384 4692432201 33282 36262 37187 40808 43219 44382 45385 4694032400 33284 36400 37188 40810 43220 44383 45386 4694532405 33420 36405 37191 40812 43226 44385 45387 4694632550 33961 36406 37192 40814 43227 44388 45391 4694732551 33968 36410 37193 40816 43228 44389 45392 4700032554 33971 36425 37197 40820 43235 44392 45505 4700132555 33974 36430 37200 41000 43236 44393 45520 4701132556 34471 36455 37202 41100 43239 44394 45905 4738232557 34490 36470 37204 41105 43240 44397 45910 4739932560 35207 36471 37210 41108 43241 44799 45915 4749032960 35460 36475 37211 41110 43243 44901 46020 4750032997 35471 36476 37212 41112 43245 45000 46040 4751032999 35475 36478 37213 41113 43247 45005 46045 4751133010 35476 36479 37214 41116 43248 45020 46050 4752533015 35540 36481 37220 41800 43249 45100 46060 4753033202 35875 36500 37500 41825 43250 45108 46080 4755233203 36002 36511 37501 41826 43251 45190 46083 4755333206 36010 36512 37607 41827 43252 45300 46200 4755433207 36011 36513 37609 42100 43255 45303 46220 4755533208 36012 36514 37650 42104 43256 45305 46221 4755633210 36013 36515 37700 42106 43257 45308 46230 4763033211 36014 36516 37718 42107 43258 45309 46250 4799933212 36015 36522 37722 42140 43260 45315 46255 4810233213 36100 36555 37735 42145 43261 45317 46257 4851133215 36120 36556 37760 42300 43262 45320 46260 4902133216 36140 36568 37765 42330 43263 45321 46261 4904133217 36160 36569 37766 42335 43264 45327 46262 4906033218 36200 36580 37780 42400 43265 45330 46270 4906133220 36215 36584 37785 42405 43267 45331 46275 4908233221 36216 36595 38300 42505 43268 45332 46280 4908333222 36217 36596 38305 42550 43269 45333 46285 4908433224 36218 36597 38500 42650 43271 45334 46288 4918033225 36221 36600 38505 42700 43450 45335 46320 4925033226 36222 36620 38510 42800 43453 45337 46500 4940033227 36223 36625 38520 42802 43456 45338 46505 49402

Procedure Codes Subject to the Assistant at Surgery 5% ListNot Payale Under Medicare for 2013 page 4CPT/HCPCS CPT/HCPCS CPT/HCPCS CPT/HCPCS CPT/HCPCS CPT/HCPCS CPT/HCPCS CPT/HCPCS CPT/HCPCS49419 51741 52500 54231 57421 61055 62318 64610 6542049421 51784 52601 54235 57452 61070 62319 64612 6542649422 51784 52630 54400 57454 61107 62350 64613 6543049426 51784 52640 54401 57455 61108 62367 64614 6543549428 52000 52647 54435 57456 61150 62368 64615 6543649429 52001 52648 54450 57460 61151 62369 64620 6545049904 52005 53000 54512 57461 61210 62370 64633 6560049906 52007 53010 54520 57500 61215 63615 64634 6577249999 52010 53020 54600 57505 61316 63650 64635 6577550020 52204 53060 54620 57510 61323 63688 64636 6578050021 52214 53080 54692 57511 61517 64400 64640 6578250040 52224 53200 54700 57513 61526 64402 64680 6580050080 52234 53240 54840 57520 61530 64405 64681 6581050200 52235 53250 54860 57522 61580 64412 64702 6581550382 52240 53260 55000 57558 61581 64413 64719 6585050384 52250 53265 55040 57800 61595 64415 64721 6585550389 52260 53270 55041 58100 61623 64416 64726 6586550390 52265 53275 55100 58120 61624 64417 64727 6587050391 52270 53420 55110 58340 61626 64418 64774 6587550392 52275 53450 55250 58346 61720 64420 64778 6588050393 52276 53502 55530 58350 61735 64421 64782 6592050394 52281 53520 55540 58353 61750 64425 64783 6593050395 52282 53600 55700 58558 61751 64430 64788 6602050398 52283 53601 55705 58559 61760 64435 64795 6603050553 52285 53605 55860 58562 61770 64445 64820 6615050575 52287 53620 55870 58565 61790 64446 64821 6615550590 52290 53621 55873 58670 61888 64447 64822 6616050592 52305 53660 55876 58671 62000 64448 64823 6622550684 52310 53661 56405 58800 62148 64449 64831 6625050688 52315 53665 56420 58823 62160 64450 64856 6650050690 52317 53850 56440 58999 62190 64479 65093 6650551100 52318 53852 56501 59000 62201 64480 65101 6660051101 52320 54001 56515 59001 62225 64483 65103 6660551102 52325 54050 56605 59072 62263 64484 65125 6662551600 52327 54055 56606 59200 62264 64505 65130 6663051605 52330 54056 56740 59400 62268 64510 65135 6663551610 52332 54057 56820 59410 62270 64517 65140 6668051700 52334 54060 56821 59430 62272 64520 65155 6668251701 52341 54065 57061 59510 62273 64530 65175 6671051702 52342 54100 57065 59515 62280 64550 65205 6671151703 52343 54105 57100 59812 62281 64555 65210 6672051705 52344 54160 57105 59820 62282 64561 65220 6674051710 52351 54161 57135 59897 62284 64565 65222 6676151720 52352 54162 57150 60100 62287 64575 65272 6676251726 52353 54163 57155 60300 62290 64581 65273 6677051726 52354 54164 57160 61000 62291 64585 65285 6682051726 52355 54200 57180 61001 62294 64590 65286 6682151741 52400 54220 57410 61020 62310 64595 65290 6683051741 52450 54230 57420 61026 62311 64600 65400 66840

Procedure Codes Subject to the Assistant at Surgery 5% ListNot Payale Under Medicare for 2013 page 5CPT/HCPCS CPT/HCPCS CPT/HCPCS CPT/HCPCS CPT/HCPCS CPT/HCPCS CPT/HCPCS CPT/HCPCS CPT/HCPCS66850 67700 68320 6950166982 67710 68325 6953566983 67715 68326 6954066984 67800 68335 6960466985 67801 68360 6961066986 67805 68362 6962066990 67808 68371 6963167005 67810 68400 6963267010 67820 68420 6963367015 67825 68440 6963567025 67830 68500 6964167028 67840 68505 6964267030 67850 68525 6964367031 67875 68530 6964467101 67880 68540 6964567105 67882 68550 6965067110 67900 68700 6966067115 67901 68705 6966267120 67902 68760 6967667141 67903 68801 6970067145 67904 68810 6971467208 67906 68811 6971567210 67908 68815 6971767218 67909 68816 6971867220 67911 68840 6980667221 67912 68850 6990567225 67914 69000 9086767227 67915 69005 9086867228 67916 69020 9086967229 67917 69100 9478067250 67921 69105 9478167311 67922 69110 9640567312 67923 69120 9640667314 67924 69145 9657067318 67930 69150 9657167320 67935 69200 9692067331 67938 69205 9692167332 67950 69210 9692267334 67966 69220 9917067335 67971 6922267343 67975 6931067345 68020 6940067400 68040 6940167405 68100 6942067412 68110 6942167500 68115 6942467505 68130 6943367515 68135 6943667550 68200 69440