27045
Exc hip/pelv tum deep 5 cm/>
Code typePrimary
Payment statusActive (A)
Global period90-day
Whole-Procedure Pricing
Line
Qty
Global fee
Pro fee
Primary27045Exc hip/pelv tum deep 5 cm/>
1
$691.73
$691.73
RVU Breakdown
Component
Office
Facility
Work
10.85
10.85
Practice expense
7.43
7.43
Malpractice
2.43
2.43
Total RVU
20.71
20.71
Payment Policy & Modifiers
Allowed adjustments
Bilateral -50150%
With modifier 50 (both sides), payment is 150% of the single-side amount. → $1,037.60 office.
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.
Not applicable to this code
Team surgeon -66Prof / tech split