29807

Sho arthrs srg rpr slap les

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

Pricing with Related Codes

Line
Qty
Global fee
Pro fee
Primary29807Sho arthrs srg rpr slap les
1
$951.93
$951.93
Add-on29826Sho arthrs srg decompression
0
$147.63/ unit
$147.63/ unit
Whole procedure · 14.30 wRVU credited
$951.93
$951.93

RVU Breakdown

Component
Office
Facility
Work
14.30
14.30
Practice expense
11.27
11.27
Malpractice
2.93
2.93
Total RVU
28.50
28.50

Payment Policy & Modifiers

Allowed adjustments
Bilateral -50150%
With modifier 50 (both sides), payment is 150% of the single-side amount. $1,427.90 office.
Multiple procedure MPPRApplies
Special multiple-endoscopy rules apply within the same endoscopy family, then standard ranking. Add-on codes are exempt.
Co-surgeons -6262.5% each
Co-surgeons paid (62.5% each) if medical necessity is documented.
Not applicable to this code
Assistant surgeon 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.