33925

Rpr pul art unifocal w/o cpb

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

Pricing with Related Codes

Line
Qty
Global fee
Pro fee
Primary33925Rpr pul art unifocal w/o cpb
1
$1,598.57
$1,598.57
Add-on33257Ablate atria lmtd add-on
0
$569.15/ unit
$569.15/ unit
Add-on33258Ablate atria x10sv add-on
0
$636.29/ unit
$636.29/ unit
Add-on33924Remove pulmonary shunt
0
$258.52/ unit
$258.52/ unit
Whole procedure · 30.52 wRVU credited
$1,598.57
$1,598.57

RVU Breakdown

Component
Office
Facility
Work
30.52
30.52
Practice expense
9.65
9.65
Malpractice
7.69
7.69
Total RVU
47.86
47.86

Payment Policy & Modifiers

Allowed adjustments
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.
Not applicable to this code
Bilateral -50Team 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, 9% is attributed to pre-operative care, 84% to the procedure itself, and 7% to post-operative visits.