19296
Place po breast cath for rad
Code typePrimary
Payment statusActive (A)
Global period0-day
Whole-Procedure Pricing
Line
Qty
Global fee
Pro fee
Primary19296Place po breast cath for rad
1
$3,993.41
$193.73
RVU Breakdown
Component
Office
Facility
Work
3.54
3.54
Practice expense
115.12
1.36
Malpractice
0.90
0.90
Total RVU
119.56
5.80
Payment Policy & Modifiers
Allowed adjustments
Bilateral -50150%
With modifier 50 (both sides), payment is 150% of the single-side amount. → $5,990.12 office.
Multiple procedure MPPRApplies
When billed with other procedures the same day: highest-valued paid 100%, the rest 50%.
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