15830

Exc excessive skin abdomen

Add to my model
Code typePrimary
Payment statusRestricted coverage (R)
Global period90-day
Restricted coverage: Covered only in unusual circumstances; special instructions apply.

Pricing with Related Codes

Line
Qty
Global fee
Pro fee
Primary15830Exc excessive skin abdomen
1
$1,067.16
$1,067.16
Add-on15847Exc skin abd add-on
0
$0.00/ unit
$0.00/ unit
Whole procedure · 16.68 wRVU credited
$1,067.16
$1,067.16
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
16.68
16.68
Practice expense
11.92
11.92
Malpractice
3.35
3.35
Total RVU
31.95
31.95

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.
Assistant surgeon -80/81/8216%
Assistant at surgery (mod 80/81/82) is paid at 16% of the fee schedule amount.
Co-surgeons -6262.5% each
Co-surgeons paid (62.5% each) if medical necessity is documented.
Not applicable to this code
Bilateral -50Team surgeon -66Prof / tech split

Global surgery package

Major surgery: payment covers the day before, the day of, and 90 days after. Of the total payment, 10% is attributed to pre-operative care, 71% to the procedure itself, and 19% to post-operative visits.