35666

Bpg fem-ant tib pst tib/prnl

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

Pricing with Related Codes

Line
Qty
Global fee
Pro fee
Primary35666Bpg fem-ant tib pst tib/prnl
1
$1,167.70
$1,167.70
Add-on35685Bypass graft patency/patch
0
$178.69/ unit
$178.69/ unit
Add-on35686Bypass graft/av fist patency
0
$145.29/ unit
$145.29/ unit
Add-on35700Reoperation bypass graft
0
$136.61/ unit
$136.61/ unit
Whole procedure · 23.07 wRVU credited
$1,167.70
$1,167.70

RVU Breakdown

Component
Office
Facility
Work
23.07
23.07
Practice expense
6.00
6.00
Malpractice
5.89
5.89
Total RVU
34.96
34.96

Payment Policy & Modifiers

Allowed adjustments
Bilateral -50150%
With modifier 50 (both sides), payment is 150% of the single-side amount. $1,751.55 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

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.