21811
Optx of rib fx w/fixj scope
Code typePrimary
Payment statusActive (A)
Global period0-day
Whole-Procedure Pricing
Line
Qty
Global fee
Pro fee
Primary21811Optx of rib fx w/fixj scope
1
$544.77
$544.77
RVU Breakdown
Component
Office
Facility
Work
10.52
10.52
Practice expense
3.19
3.19
Malpractice
2.60
2.60
Total RVU
16.31
16.31
Payment Policy & Modifiers
Allowed adjustments
Bilateral -50150%
With modifier 50 (both sides), payment is 150% of the single-side amount. → $817.16 office.
Multiple procedure MPPRApplies
When billed with other procedures the same day: highest-valued paid 100%, the rest 50%.
Assistant surgeon -80/81/8216%
Assistant at surgery (mod 80/81/82) is paid at 16% of the fee schedule amount.
Not applicable to this code
Co-surgeon -62Team surgeon -66Prof / tech split