0847T
Dgtz gls mcrscp xm arch tiss
Code typeAdd-on
Paid with — select a primary to see the real payable total
88363
Xm archive tissue molec anal
Code typePrimary
Payment statusActive (A)
Global periodNone
Pricing with Related Codes
Line
Qty
Global fee
Pro fee
Primary88363Xm archive tissue molec anal
1
$22.71
$15.36
Whole procedure · 0.36 wRVU credited
$22.71
$15.36
How these numbers were computed
- status=CThis code is not separately payable under the Physician Fee Schedule (status C) — amounts shown are $0.
RVU Breakdown
Component
Office
Facility
Work
0.36
0.36
Practice expense
0.30
0.08
Malpractice
0.02
0.02
Total RVU
0.68
0.46
Payment Policy & Modifiers
Allowed adjustments
Assistant surgeon -80/81/8216% · documented
Assistant at surgery (mod 80/81/82) paid at 16% if medical necessity is documented.
Not applicable to this code
Bilateral -50Multiple procedure Co-surgeon -62Team surgeon -66Prof / tech split