22862
Rev rplcm rthrp 1ntrspc lmbr
Code typePrimary
Payment statusRestricted coverage (R)
Global period90-day
Restricted coverage: Covered only in unusual circumstances; special instructions apply.
Pricing with Related Codes
Line
Qty
Global fee
Pro fee
Primary22862Rev rplcm rthrp 1ntrspc lmbr
1
$2,267.92
$2,267.92
Whole procedure · 31.81 wRVU credited
$2,267.92
$2,267.92
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
31.81
31.81
Practice expense
22.64
22.64
Malpractice
13.45
13.45
Total RVU
67.90
67.90
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).
Team surgery -66By report
Team surgery is priced 'by report' — the contractor sets the amount; no standard percentage.
Not applicable to this code
Bilateral -50Prof / tech split