35571
Art byp pop-tibl-prl-other
Code typePrimary
Payment statusActive (A)
Global period90-day
Pricing with Related Codes
Line
Qty
Global fee
Pro fee
Primary35571Art byp pop-tibl-prl-other
1
$1,200.43
$1,200.43
Whole procedure · 24.88 wRVU credited
$1,200.43
$1,200.43
RVU Breakdown
Component
Office
Facility
Work
24.88
24.88
Practice expense
4.69
4.69
Malpractice
6.37
6.37
Total RVU
35.94
35.94
Payment Policy & Modifiers
Allowed adjustments
Bilateral -50150%
With modifier 50 (both sides), payment is 150% of the single-side amount. → $1,800.65 office.
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
Team surgeon -66Prof / tech split