19288

Perq dev breast add mr guide

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

19287

Perq dev breast 1st mr guide

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

Pricing with Related Codes

Line
Qty
Global fee
Pro fee
Primary19287Perq dev breast 1st mr guide
1
$599.21
$105.88
Add-on1024TPerq tiss dsplmt soft tissue
0
$0.00/ unit
$0.00/ unit
Add-on19288Perq dev breast add mr guide
0
$456.92/ unit
$53.44/ unit
Whole procedure · 2.49 wRVU credited
$599.21
$105.88
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
2.49
2.49
Practice expense
15.22
0.45
Malpractice
0.23
0.23
Total RVU
17.94
3.17

Payment Policy & Modifiers

Allowed adjustments
Bilateral -50150%
With modifier 50 (both sides), payment is 150% of the single-side amount. $898.82 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