0869T
Njx b1 sub mtrl hw fixj aug
Code typePrimary
Payment statusCarrier-priced (C)
Global periodContractor-set global
Carrier-priced: Your Medicare contractor sets the price case by case (often after reviewing documentation).
Whole-Procedure Pricing
Line
Qty
Global fee
Pro fee
Primary0869TNjx b1 sub mtrl hw fixj aug
1
$0.00
$0.00
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
0.00
0.00
Practice expense
0.00
0.00
Malpractice
0.00
0.00
Total RVU
0.00
0.00
Payment Policy & Modifiers
Allowed adjustments
Bilateral -50150%
With modifier 50 (both sides), payment is 150% of the single-side amount. → $0.00 office.
Multiple procedure MPPRApplies
When billed with other procedures the same day: highest-valued paid 100%, the rest 50%.
Not applicable to this code
Assistant surgeon Co-surgeon -62Team surgeon -66Prof / tech split