Ama Policy

Coding of Physician and Non-Physician Services H-70.994

Payment Edits
(1) Our AMA opposes the development of modifiers to physicians’ CPT to identify services rendered by non-physicians, but supports efforts to develop appropriate coding systems for non-physician services. (2) The AMA CPT Editorial Panel continues to identify areas where services performed by non-MD/DOs may be separately coded so that the AMA/Specialty Society RVS Update Committee (RUC) and the RUC Health Care Professionals Advisory Committee (HCPAC) Review Board may develop work relative values which are reflective of the differential level of work between MD/DO and non-MD/DO services.

Policy Timeline

BOT Rep. H, A-88 Appended: CMS Rep. 16, A-98 Reaffirmed: CLRPD Rep. 1, A-08 Reaffirmed: CMS Rep. 01, A-18