25800

Arthrd wrist complete wo grf

Add to my model
Code typePrimary
Payment statusActive (A)
Global period90-day

Pricing with Related Codes

Line
Qty
Global fee
Pro fee
Primary25800Arthrd wrist complete wo grf
1
$673.36
$673.36
Add-on20705Rmvl i-artic rx delivery dev
0
$128.26/ unit
$106.21/ unit
Whole procedure · 9.82 wRVU credited
$673.36
$673.36

RVU Breakdown

Component
Office
Facility
Work
9.82
9.82
Practice expense
8.46
8.46
Malpractice
1.88
1.88
Total RVU
20.16
20.16

Payment Policy & Modifiers

Allowed adjustments
Bilateral -50150%
With modifier 50 (both sides), payment is 150% of the single-side amount. $1,010.04 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

Global surgery package

Major surgery: payment covers the day before, the day of, and 90 days after. Of the total payment, 10% is attributed to pre-operative care, 69% to the procedure itself, and 21% to post-operative visits.