19284

Perq dev breast add strtctc

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

19283

Perq dev breast 1st strtctc

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

Pricing with Related Codes

Line
Qty
Global fee
Pro fee
Primary19283Perq dev breast 1st strtctc
1
$250.17
$84.17
Add-on1024TPerq tiss dsplmt soft tissue
0
$0.00/ unit
$0.00/ unit
Add-on19284Perq dev breast add strtctc
0
$181.70/ unit
$42.42/ unit
Whole procedure · 1.95 wRVU credited
$250.17
$84.17
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
5.33
0.36
Malpractice
0.21
0.21
Total RVU
7.49
2.52

Payment Policy & Modifiers

Allowed adjustments
Bilateral -50150%
With modifier 50 (both sides), payment is 150% of the single-side amount. $375.26 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