20704

Mnl prep&insj i-artic rx dev

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

22864

Rmvl tot arthrp 1ntrspc crv

Add to my model
Code typePrimary
Payment statusActive (A)
Global period90-day

Pricing with Related Codes

Line
Qty
Global fee
Pro fee
Primary22864Rmvl tot arthrp 1ntrspc crv
1
$2,021.09
$2,021.09
Add-on0095TRmvl artific disc addl crvcl
0
$0.00/ unit
$0.00/ unit
Add-on20704Mnl prep&insj i-artic rx dev
0
$155.65/ unit
$128.59/ unit
Add-on20705Rmvl i-artic rx delivery dev
0
$128.26/ unit
$106.21/ unit
Whole procedure · 28.67 wRVU credited
$2,021.09
$2,021.09
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
28.67
28.67
Practice expense
19.72
19.72
Malpractice
12.12
12.12
Total RVU
60.51
60.51

Payment Policy & Modifiers

Allowed adjustments
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%
Assistant at surgery (mod 80/81/82) is paid at 16% of the fee schedule amount.
Co-surgeons -6262.5% each
Co-surgeons (mod 62) are paid 62.5% of the fee each (125% total, split).
Not applicable to this code
Bilateral -50Team surgeon -66Prof / tech split

Global surgery package

Major surgery: payment covers the day before, the day of, and 90 days after. Of the total payment, 10% is attributed to pre-operative care, 69% to the procedure itself, and 21% to post-operative visits.