29824

Sho arthrs srg dstl claviclc

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

Pricing with Related Codes

Line
Qty
Global fee
Pro fee
Primary29824Sho arthrs srg dstl claviclc
1
$638.96
$638.96
Add-on29826Sho arthrs srg decompression
0
$147.63/ unit
$147.63/ unit
Whole procedure · 8.76 wRVU credited
$638.96
$638.96

RVU Breakdown

Component
Office
Facility
Work
8.76
8.76
Practice expense
8.61
8.61
Malpractice
1.76
1.76
Total RVU
19.13
19.13

Payment Policy & Modifiers

Allowed adjustments
Bilateral -50150%
With modifier 50 (both sides), payment is 150% of the single-side amount. $958.44 office.
Multiple procedure MPPRApplies
Special multiple-endoscopy rules apply within the same endoscopy family, then standard ranking. 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.