19100
Bx breast percut w/o image
Code typePrimary
Payment statusActive (A)
Global period0-day
Whole-Procedure Pricing
Line
Qty
Global fee
Pro fee
Primary19100Bx breast percut w/o image
1
$163.33
$61.79
RVU Breakdown
Component
Office
Facility
Work
1.24
1.24
Practice expense
3.35
0.31
Malpractice
0.30
0.30
Total RVU
4.89
1.85
Payment Policy & Modifiers
Allowed adjustments
Bilateral -50150%
With modifier 50 (both sides), payment is 150% of the single-side amount. → $245.00 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