36252

Ins cath ren art 1st bilat

Add to my model
Code typePrimary
Payment statusActive (A)
Global period0-day

Pricing with Related Codes

Line
Qty
Global fee
Pro fee
Primary36252Ins cath ren art 1st bilat
1
$1,343.38
$309.63
Add-on37252Intrvasc us noncoronary 1st
0
$895.48/ unit
$79.16/ unit
Add-on37253Intrvasc us noncoronary addl
0
$169.68/ unit
$62.46/ unit
Whole procedure · 6.57 wRVU credited
$1,343.38
$309.63

RVU Breakdown

Component
Office
Facility
Work
6.57
6.57
Practice expense
32.17
1.22
Malpractice
1.48
1.48
Total RVU
40.22
9.27

Payment Policy & Modifiers

Allowed adjustments
Bilateral -50Built in
The fee already assumes a bilateral service — modifier 50 doesn't change payment.
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