29837

Elbow arthroscopy/surgery

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Code typePrimary
Payment statusActive (A)
Global period90-day

Whole-Procedure Pricing

Line
Qty
Global fee
Pro fee
Primary29837Elbow arthroscopy/surgery
1
$506.69
$506.69

RVU Breakdown

Component
Office
Facility
Work
6.83
6.83
Practice expense
6.89
6.89
Malpractice
1.45
1.45
Total RVU
15.17
15.17

Payment Policy & Modifiers

Allowed adjustments
Bilateral -50150%
With modifier 50 (both sides), payment is 150% of the single-side amount. $760.04 office.
Multiple procedure MPPRApplies
Special multiple-endoscopy rules apply within the same endoscopy family, then standard ranking.
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.