36831
Open thrombect av fistula
Code typePrimary
Payment statusActive (A)
Global period90-day
Pricing with Related Codes
RVU Breakdown
Component
Office
Facility
Work
10.73
10.73
Practice expense
3.46
3.46
Malpractice
2.75
2.75
Total RVU
16.94
16.94
Payment Policy & Modifiers
Allowed adjustments
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
Bilateral -50Team surgeon -66Prof / tech split