19286

Perq dev breast add us imag

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

19285

Perq dev breast 1st us imag

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

Pricing with Related Codes

Line
Qty
Global fee
Pro fee
Primary19285Perq dev breast 1st us imag
1
$350.38
$71.81
Add-on1024TPerq tiss dsplmt soft tissue
0
$0.00/ unit
$0.00/ unit
Add-on19286Perq dev breast add us imag
0
$286.58/ unit
$36.07/ unit
Whole procedure · 1.66 wRVU credited
$350.38
$71.81
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
1.66
1.66
Practice expense
8.65
0.31
Malpractice
0.18
0.18
Total RVU
10.49
2.15

Payment Policy & Modifiers

Allowed adjustments
Bilateral -50150%
With modifier 50 (both sides), payment is 150% of the single-side amount. $525.57 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