23184
Prtl excision bone prox hum
Code typePrimary
Payment statusActive (A)
Global period90-day
Pricing with Related Codes
RVU Breakdown
Component
Office
Facility
Work
9.65
9.65
Practice expense
9.16
9.16
Malpractice
2.04
2.04
Total RVU
20.85
20.85
Payment Policy & Modifiers
Allowed adjustments
Bilateral -50150%
With modifier 50 (both sides), payment is 150% of the single-side amount. → $1,044.62 office.
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 paid (62.5% each) if medical necessity is documented.
Not applicable to this code
Team surgeon -66Prof / tech split