NOTICE The five character codes included in the Maryland Workers' Compensation Commission Guide of Medical and Surgical Fees are obtained from Current Procedural Terminology (CPT®), copyright 2016 by the American Medical Association (AMA). CPT is developed by the AMA as a listing of descriptive terms and five character identifying codes and modifiers for reporting medical services and procedures performed by physicians. The responsibility for the content of the Maryland Workers' Compensation Commission Guide of Medical and Surgical Fees is with the MD WCC and no endorsement of the AMA is intended or should be implied. The AMA disclaims responsibility for any consequences or liability attributable or related to any use, nonuse or interpretation of information contained in the Maryland Workers' Compensation Commission Guide of Medical and Surgical Fees. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein. Any use of CPT outside of the Maryland Workers' Compensation Commission Guide of Medical and Surgical Fees should refer to the most current Current Procedural Terminology which contains the complete and most current listing of CPT codes and descriptive terms. Applicable FARS/DFARS apply. CPT is a registered trademark of the American Medical Association. UpdatedNovember2015 Page1 of 2 MD WCC MFG Orthopedic & Neurological CPT® Codes Defined (Effective January 1, 2016 ) 20100-20251 23585 25622 27372-27520 28405-28420 20500-20938 23600 25624-25645 27524 28430-28465 20950 23605-23616 25650-25999 27530-27558 28470 20955-21070 23620 26010-26030 27560 28475-28490 21073 23625-23630 26034-20635 27562-27612 28495-28615 21076-21100 23650 26037 27615-27648 28630-28645 21110-21116 23655-23931 26040 27650-27745 28665-28899 21120-21275 23935-24006 26045 27750 29800-29999 21280-21282 24071 26055 27752-27760 61000-62230 21295-21480 24073 26060 27762 62252 21485-21499 24075-24164 26070-26111 27766 62256-62284 21501-21510 24200-24300 26113 27767-27769 62287 21550-21925 24301-24498 26115-26145 27780-27781 62290-62292 21930-21933 24500-24505 26160 27784 62294 21935-21936 24515-24587 26170 27786 62350-62362 22010-22328 24600 26180-26320 27788-27899 62368-62370 22505-22899 24605-24635 26340-26341 28001-28003 63001-63621 22999-23035 24640-24650 26350-26437 28005-28035 63655 23040 24655-24666 26440-26460 28039 63661-63664 23044 24670 26471-26596 28041 63685-63688 23065-23066 24675-24999 26600 28043 63700-63746 23071-23220 25000-25240 26605-26715 28045-28072 64461-64463 23330-23335 25246 26720 28086 64490-64495 26725-26735 28088 64566 23350 25248-25492 23395-23491 25500 26740 28100-28108 64568-64570 23500-23505 25505-25526 26742 28110-28175 64600 23515 25530 26746 28190 64605 23520 25535 26750 28192-28226 64610-64681 23525-23532 25545 26755-26756 28230-28232 64702-64772 23540 25560 26765-27036 28238 64774-64823 23545-23552 25565-25575 27040-27080 28240 64831-64999 23570 25600 27086-27310 28250-28360 23575 25605-25609 27323-27365 28400 UpdatedNovember2015 Page2 of 2