10036

Plmt sft tiss loclzj dev ea

Code typeAdd-on
Paid with — select a primary to see the real payable total

10035

Plmt sft tiss loclzj dev 1st

Add to my model
Code typePrimary
Payment statusActive (A)
Global period0-day

Pricing with Related Codes

Line
Qty
Global fee
Pro fee
Primary10035Plmt sft tiss loclzj dev 1st
1
$345.37
$71.14
Add-on10036Plmt sft tiss loclzj dev ea
0
$290.59/ unit
$36.74/ unit
Add-on1024TPerq tiss dsplmt soft tissue
0
$0.00/ unit
$0.00/ unit
Whole procedure · 1.66 wRVU credited
$345.37
$71.14
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
1.66
1.66
Practice expense
8.51
0.30
Malpractice
0.17
0.17
Total RVU
10.34
2.13

Payment Policy & Modifiers

Allowed adjustments
Bilateral -50150%
With modifier 50 (both sides), payment is 150% of the single-side amount. $518.06 office.
Multiple procedure MPPRApplies
When billed with other procedures the same day: highest-valued paid 100%, the rest 50%. Add-on codes are exempt.
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
Co-surgeon -62Team surgeon -66Prof / tech split