36247
Ins cath abd/l-ext art 3rd
Code typePrimary
Payment statusActive (A)
Global period0-day
Pricing with Related Codes
Line
Qty
Global fee
Pro fee
Primary36247Ins cath abd/l-ext art 3rd
1
$1,356.08
$258.86
Whole procedure · 5.89 wRVU credited
$1,356.08
$258.86
RVU Breakdown
Component
Office
Facility
Work
5.89
5.89
Practice expense
33.72
0.87
Malpractice
0.99
0.99
Total RVU
40.60
7.75
Payment Policy & Modifiers
Allowed adjustments
Bilateral -50150%
With modifier 50 (both sides), payment is 150% of the single-side amount. → $2,034.12 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