27303

Drainage of bone lesion

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

Pricing with Related Codes

Line
Qty
Global fee
Pro fee
Primary27303Drainage of bone lesion
1
$603.89
$603.89
Add-on20700Mnl prep&insj dp rx dlvr dev
0
$84.84/ unit
$70.81/ unit
Whole procedure · 8.41 wRVU credited
$603.89
$603.89

RVU Breakdown

Component
Office
Facility
Work
8.41
8.41
Practice expense
7.93
7.93
Malpractice
1.74
1.74
Total RVU
18.08
18.08

Payment Policy & Modifiers

Allowed adjustments
Bilateral -50150%
With modifier 50 (both sides), payment is 150% of the single-side amount. $905.84 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.