31237
Nsl/sins ndsc surg bx polypc
Code typePrimary
Payment statusActive (A)
Global period0-day
Whole-Procedure Pricing
Line
Qty
Global fee
Pro fee
Primary31237Nsl/sins ndsc surg bx polypc
1
$266.54
$138.28
RVU Breakdown
Component
Office
Facility
Work
2.54
2.54
Practice expense
5.07
1.23
Malpractice
0.37
0.37
Total RVU
7.98
4.14
Payment Policy & Modifiers
Allowed adjustments
Bilateral -50150%
With modifier 50 (both sides), payment is 150% of the single-side amount. → $399.81 office.
Multiple procedure MPPRApplies
Special multiple-endoscopy rules apply within the same endoscopy family, then standard ranking.
Not applicable to this code
Assistant surgeon Co-surgeon -62Team surgeon -66Prof / tech split