34812

Opn fem art expos

Code typeAdd-on
Paid with — select a primary to see the real payable total

33880

Evasc rpr ta ndgft cov lsa

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

Pricing with Related Codes

Line
Qty
Global fee
Pro fee
Primary33880Evasc rpr ta ndgft cov lsa
1
$1,287.27
$1,287.27
Add-on34713Perq access & clsr fem art
0
$110.22/ unit
$110.22/ unit
Add-on34714Opn fem art expos cndt crtj
0
$245.16/ unit
$245.16/ unit
Add-on34715Opn ax/subcla art expos
0
$269.55/ unit
$269.55/ unit
Add-on34716Opn ax/subcla art expos cndt
0
$338.35/ unit
$338.35/ unit
Add-on34812Opn fem art expos
0
$185.04/ unit
$185.04/ unit
Add-on34820Opn iliac art expos
0
$304.28/ unit
$304.28/ unit
Add-on34833Opn ilac art expos cndt crtj
0
$355.05/ unit
$355.05/ unit
Add-on34834Opn brach art expos
0
$116.57/ unit
$116.57/ unit
Add-on37252Intrvasc us noncoronary 1st
0
$895.48/ unit
$79.16/ unit
Add-on37253Intrvasc us noncoronary addl
0
$169.68/ unit
$62.46/ unit
Whole procedure · 26.33 wRVU credited
$1,287.27
$1,287.27

RVU Breakdown

Component
Office
Facility
Work
26.33
26.33
Practice expense
5.63
5.63
Malpractice
6.58
6.58
Total RVU
38.54
38.54

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 (mod 62) are paid 62.5% of the fee each (125% total, split).
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.