20604
Drain/inj joint/bursa w/us
Code typePrimary
Payment statusActive (A)
Global period0-day
Whole-Procedure Pricing
Line
Qty
Global fee
Pro fee
Primary20604Drain/inj joint/bursa w/us
1
$87.18
$39.75
RVU Breakdown
Component
Office
Facility
Work
0.87
0.87
Practice expense
1.63
0.21
Malpractice
0.11
0.11
Total RVU
2.61
1.19
Payment Policy & Modifiers
Allowed adjustments
Bilateral -50150%
With modifier 50 (both sides), payment is 150% of the single-side amount. → $130.77 office.
Multiple procedure MPPRApplies
When billed with other procedures the same day: highest-valued paid 100%, the rest 50%.
Not applicable to this code
Assistant surgeon Co-surgeon -62Team surgeon -66Prof / tech split