22558
Arthrd ant ntrbd min dsc lum
Code typePrimary
Payment statusActive (A)
Global period90-day
Pricing with Related Codes
Line
Qty
Global fee
Pro fee
Primary22558Arthrd ant ntrbd min dsc lum
1
$1,423.88
$1,423.88
Whole procedure · 22.94 wRVU credited
$1,423.88
$1,423.88
How these numbers were computed
- status=BThis code is not separately payable under the Physician Fee Schedule (status B) — amounts shown are $0.
RVU Breakdown
Component
Office
Facility
Work
22.94
22.94
Practice expense
13.20
13.20
Malpractice
6.49
6.49
Total RVU
42.63
42.63
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