31298

Nsl/sins ndsc surg frnt&sphn

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Code typePrimary
Payment statusActive (A)
Global period0-day

Whole-Procedure Pricing

Line
Qty
Global fee
Pro fee
Primary31298Nsl/sins ndsc surg frnt&sphn
1
$2,965.67
$215.77

RVU Breakdown

Component
Office
Facility
Work
4.39
4.39
Practice expense
83.78
1.45
Malpractice
0.62
0.62
Total RVU
88.79
6.46

Payment Policy & Modifiers

Allowed adjustments
Bilateral -50150%
With modifier 50 (both sides), payment is 150% of the single-side amount. $4,448.51 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