29884

Arthrs knee surg lysis ads

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

Pricing with Related Codes

Line
Qty
Global fee
Pro fee
Primary29884Arthrs knee surg lysis ads
1
$586.19
$586.19
Add-onG0289Arthro, loose body + chondro
0
$72.81/ unit
$72.81/ unit
Whole procedure · 8.07 wRVU credited
$586.19
$586.19

RVU Breakdown

Component
Office
Facility
Work
8.07
8.07
Practice expense
7.82
7.82
Malpractice
1.66
1.66
Total RVU
17.55
17.55

Payment Policy & Modifiers

Allowed adjustments
Bilateral -50150%
With modifier 50 (both sides), payment is 150% of the single-side amount. $879.29 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.