31297
Nsl/sins ndsc surg sphn sins
Code typePrimary
Payment statusActive (A)
Global period0-day
Whole-Procedure Pricing
Line
Qty
Global fee
Pro fee
Primary31297Nsl/sins ndsc surg sphn sins
1
$1,564.50
$123.58
RVU Breakdown
Component
Office
Facility
Work
2.38
2.38
Practice expense
44.10
0.96
Malpractice
0.36
0.36
Total RVU
46.84
3.70
Payment Policy & Modifiers
Allowed adjustments
Bilateral -50150%
With modifier 50 (both sides), payment is 150% of the single-side amount. → $2,346.75 office.
Multiple procedure MPPRApplies
Special multiple-endoscopy rules apply within the same endoscopy family, then standard ranking.
Assistant surgeon -80/81/8216% · documented
Assistant at surgery (mod 80/81/82) paid at 16% if medical necessity is documented.
Not applicable to this code
Co-surgeon -62Team surgeon -66Prof / tech split