35671

Bpg pop-tibl/-prnl artery

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

Pricing with Related Codes

Line
Qty
Global fee
Pro fee
Primary35671Bpg pop-tibl/-prnl artery
1
$1,028.75
$1,028.75
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 · 20.25 wRVU credited
$1,028.75
$1,028.75

RVU Breakdown

Component
Office
Facility
Work
20.25
20.25
Practice expense
5.39
5.39
Malpractice
5.16
5.16
Total RVU
30.80
30.80

Payment Policy & Modifiers

Allowed adjustments
Bilateral -50150%
With modifier 50 (both sides), payment is 150% of the single-side amount. $1,543.13 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.