36245
Ins cath abd/l-ext art 1st
Code typePrimary
Payment statusActive (A)
Global periodNone
Pricing with Related Codes
RVU Breakdown
Component
Office
Facility
Work
4.53
4.53
Practice expense
30.50
0.81
Malpractice
0.86
0.86
Total RVU
35.89
6.20
Payment Policy & Modifiers
Allowed adjustments
Bilateral -50150%
With modifier 50 (both sides), payment is 150% of the single-side amount. → $1,798.14 office.
Multiple procedure MPPRApplies
When billed with other procedures the same day: highest-valued paid 100%, the rest 50%. Add-on codes are exempt.
Not applicable to this code
Assistant surgeon Co-surgeon -62Team surgeon -66Prof / tech split