22904
Radical resect abd tumor<5cm
Code typePrimary
Payment statusActive (A)
Global period90-day
Whole-Procedure Pricing
Line
Qty
Global fee
Pro fee
Primary22904Radical resect abd tumor<5cm
1
$985.33
$985.33
RVU Breakdown
Component
Office
Facility
Work
16.27
16.27
Practice expense
9.45
9.45
Malpractice
3.78
3.78
Total RVU
29.50
29.50
Payment Policy & Modifiers
Allowed adjustments
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.
Co-surgeons -6262.5% each
Co-surgeons paid (62.5% each) if medical necessity is documented.
Team surgery -66By report
Team surgery may be paid case by case with supporting documentation.
Not applicable to this code
Bilateral -50Prof / tech split