19281

Perq device breast 1st imag

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

Pricing with Related Codes

Line
Qty
Global fee
Pro fee
Primary19281Perq device breast 1st imag
1
$234.81
$83.17
Add-on1024TPerq tiss dsplmt soft tissue
0
$0.00/ unit
$0.00/ unit
Add-on19282Perq device breast ea imag
0
$164.67/ unit
$41.42/ unit
Whole procedure · 1.95 wRVU credited
$234.81
$83.17
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
1.95
1.95
Practice expense
4.89
0.35
Malpractice
0.19
0.19
Total RVU
7.03
2.49

Payment Policy & Modifiers

Allowed adjustments
Bilateral -50150%
With modifier 50 (both sides), payment is 150% of the single-side amount. $352.22 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