24430
Rpr non/mal humerus wo graft
Code typePrimary
Payment statusActive (A)
Global period90-day
Pricing with Related Codes
RVU Breakdown
Component
Office
Facility
Work
14.87
14.87
Practice expense
11.10
11.10
Malpractice
3.06
3.06
Total RVU
29.03
29.03
Payment Policy & Modifiers
Allowed adjustments
Bilateral -50150%
With modifier 50 (both sides), payment is 150% of the single-side amount. → $1,454.45 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