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CPT 44132

Restricted / special payment rules

44132 · PFS Q1 2016 · Historical

No national PFS rate in Q1 2016

Status R: no national PFS amount. The RVUs for this setting are all zero; they do not establish a $0 allowance. Special payment instructions apply.

View applicable payment rules
View CMS source and method

CPT 44132 has no published national rate. It carries status R (restricted) in the Q1 2016 release. Special coverage instructions apply, so whether Medicare pays depends on the circumstances of the service. The blank amount means unpriced, not $0.

PFS status evidence

Physician relative value file (Q1 2016) · rvu16a.zip (PPRRVU16_V0122.csv row 8,865)
Inspect PFS status evidence
Code
44132
Release
Q1 2016, revision 1
Result
Restricted / special payment rules

Citations

  • Shows this code’s PFS status (R). Result: Restricted / special payment rules.

    Physician relative value file (PPRRVU)

    Q1 2016 · revision 1

    Latest revision of this release

    Release period: January 1 – March 31, 2016

    This PFS record alone does not establish a $0 allowance or a coverage determination. Any amount from another schedule needs its own evidence.

    Record details PPRRVU16_V0122.csv in rvu16a.zip (row 8,865)
    hcpcs (col 1)
    44132
    modifier (col 2)
    blank
    status_code (col 4)
    R
    work_rvu (col 6)
    0
    pe_rvu_nonfacility (col 7)
    0
    pe_rvu_facility (col 9)
    0
    mp_rvu (col 11)
    0

    SHA-256: e7973024293c4f8bd19119f0479a6b7bdc36435376c6b05a22fd3cd3cec5b13c

    Original source file

Plain-text summary

Why is there no national PFS amount for 44132?

Its status indicator is R (restricted). Special coverage instructions apply, so whether Medicare pays depends on the circumstances of the service. Status R: no national PFS amount. The RVUs for this setting are all zero; they do not establish a $0 allowance. Special payment instructions apply.

Payment considerations Copy link

Here are the inputs and payment rules that apply to this code. Each link takes you to the detail below.

Other payment indicators (10)

Facility/non-facility: Does not apply, Professional/technical component: Does not apply, Bilateral adjustment: Does not apply, Multiple-procedure reduction: Does not apply, Assistant/co-surgeon treatment: Does not apply, Global surgery: Does not apply, NCCI same-day edits: Not determined, MUE behavior: Not determined, Other fee-schedule routing: Does not apply, Contractor pricing: Does not apply.

Why would a Medicare claim for 44132 be denied or paid less?

These come from CMS indicators on this page, not general billing advice.

Payer-specific coverage and documentation rules live outside these files, so a claim that clears every check here can still be denied on other grounds.

Payment review for 44132 Copy link

Two published payment rules can change what 44132 allows on a claim: status R coverage instructions and documentation-restricted assistant-at-surgery payment. Each is a legitimate reason for a paid amount to differ from the fee-schedule amount on this page.

What to check

  • Treat the published amount as conditional—status R carries special coverage instructions, so a payable fee-schedule amount does not by itself establish that this line should have paid.
  • Check for documentation on file before appealing an assistant-at-surgery denial: payment on the -80 or -AS line is restricted for this procedure unless medical necessity is established.
  • Reprice the line against the release, locality, setting, modifier and participation status that applied to the date of service before treating any difference as an underpayment.

Codes to compare

National Q1 2016 amounts at GPCI 1.000. A blank means this schedule does not publish a payable PFS amount.

None of the comparison codes are in this release.

Check an actual payment Model this code in a contract

Sources: CMS Medicare Physician Fee Schedule Relative Value Files; CMS Medicare Physician Fee Schedule Relative Value Files (status indicator field); 42 USC 1395w-4(i)(2) (SSA §1848(i)(2))—Assistants-at-surgery.

Which billing rules and modifiers apply? Copy link

Global period: what 44132's fee already covers Copy link

XXX Does not apply

The global surgery concept does not apply to this code.

Billing policy Copy link

These billing-policy indicators explain how 44132 is treated. They apply whether the code is nationally priced or carrier-priced: a restriction like "bilateral not allowed" still matters on a carrier-priced code.

Policy Value What it means
Bilateral surgery 0 No bilateral adjustment. The 150% bilateral payment adjustment does not apply to this procedure.
Assistant at surgery 0 Restricted without documentation. Payment for an assistant at surgery is restricted for this procedure unless supporting documentation establishes medical necessity.
Co-surgeons 0 Not permitted. Medicare does not recognize co-surgeons (modifier 62) for this procedure.
Team surgery 0 Not permitted. Medicare does not recognize a surgical team (modifier 66) for this procedure.
Multiple procedures 0 No reduction. No multiple-procedure reduction applies when this procedure is billed with others on the same date; each is paid at its full fee schedule amount.
Professional/technical split 0 No PC/TC split. This is a physician service code; the professional/technical split does not apply, and the code is billed as a single service.

Can you bill it with another code? Copy link

Check a pair of codes Copy link

Enter a second CPT or HCPCS code billed on the same date of service. We'll check the current NCCI procedure-to-procedure edit for the pair.

See every current NCCI pair for 44132 →

How has it changed? Copy link

Rate history by release Copy link

National Office (non-facility) amount for 44132 across quarterly releases.

Release Status Office Facility
Q4 2026 takes effect Oct 1, 2026 R — —
Q3 2026 Jul 1, 2026 – Sep 30, 2026 R — —
Q2 2026 Apr 1, 2026 – Jun 30, 2026 R — —
When does this rate change?

CMS publishes a fee schedule release every quarter (January, April, July, October), and each is versioned here. See what changed each release, or get an email when a new release moves rates.

Sources: CMS Medicare Physician Fee Schedule Relative Value Files.

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Source & method

Show sources

This page uses CMS's Medicare Physician Fee Schedule Q1 2016 release (effective January 2016). National baselines use GPCI 1.000 and exclude sequestration. Whether a national amount exists depends on the status and CMS’s payment instructions; blank RVUs are never treated as zero. Past releases are never edited, so these sources stay valid after CMS publishes a newer one. Our methodology explains sourcing, parsing, versioning, and how we cross-check claims before we publish them.

Physician relative value file (Q1 2016) · rvu16a.zip (PPRRVU16_V0122.csv row 8,865)

Use the (i) buttons next to each amount above for the exact row, columns, and math.

Cite this rate

The citation names the release, so anyone can check it even after CMS publishes a newer one.

CPT 44132 National PFS baseline: No national PFS rate (Q1 2016; participating; whole service; GPCI 1.000; sequestration excluded). Localis. https://localishealth.com/cpt/44132/2016/A