Policy Updates Reimbursement PoliciesCommercialOctober 1, 2018

Assistant Surgeon Coding update (professional)

In our Assistant Surgery Services Coding Chart dated June 15, 2018, we are adding procedure codes 15733, 19294, 20939, 31241, 31253, 31257, 31259, 31298, 36465, 36466, 36482, 36483, 38222, 55874, 0479T, 0483T, 0484T, C9738, C9748, G0516, G0517, G0518, (effective January 1, 2018), and C9749 (effective April 1, 2018) to our “Assistant Surgeon Not Allowed” code list to document our edit that these codes are not eligible for reimbursement when reported by an assistant surgeon. Please note that we are deleting code 44360 from the list as this code does allow an assistant surgeon; we are also removing deleted codes 44347, 44349, and 44350 from the “Assistant Surgeon Not Allowed” code list.