14021
Tis trnfr s/a/l 10.1-30 sqcm
Code typePrimary
Payment statusActive (A)
Global period90-day
Pricing with Related Codes
Line
Qty
Global fee
Pro fee
Primary14021Tis trnfr s/a/l 10.1-30 sqcm
1
$882.79
$620.25
Whole procedure · 9.48 wRVU credited
$882.79
$620.25
RVU Breakdown
Component
Office
Facility
Work
9.48
9.48
Practice expense
15.64
7.78
Malpractice
1.31
1.31
Total RVU
26.43
18.57
Payment Policy & Modifiers
Allowed adjustments
Multiple procedure MPPRApplies
When billed with other procedures the same day: highest-valued paid 100%, the rest 50%. Add-on codes are exempt.
Not applicable to this code
Bilateral -50Assistant surgeon Co-surgeon -62Team surgeon -66Prof / tech split