32854

Lung transplant with bypass

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

Pricing with Related Codes

Line
Qty
Global fee
Pro fee
Primary32854Lung transplant with bypass
1
$4,494.76
$4,494.76
Add-on34714Opn fem art expos cndt crtj
0
$245.16/ unit
$245.16/ unit
Add-on34716Opn ax/subcla art expos cndt
0
$338.35/ unit
$338.35/ unit
Add-on34833Opn ilac art expos cndt crtj
0
$355.05/ unit
$355.05/ unit
Whole procedure · 87.75 wRVU credited
$4,494.76
$4,494.76

RVU Breakdown

Component
Office
Facility
Work
87.75
87.75
Practice expense
24.82
24.82
Malpractice
22.00
22.00
Total RVU
134.57
134.57

Payment Policy & Modifiers

Allowed adjustments
Bilateral -50Built in
The fee already assumes a bilateral service — modifier 50 doesn't change payment.
Multiple procedure MPPRApplies
When billed with other procedures the same day: highest-valued paid 100%, the rest 50%. 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.
Team surgery -66By report
Team surgery is priced 'by report' — the contractor sets the amount; no standard percentage.
Not applicable to this code
Prof / 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, 76% to the procedure itself, and 14% to post-operative visits.