36836

Prq av fstl crtj uxtr 1 acs

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Code typePrimary
Payment statusActive (A)
Global period0-day

Whole-Procedure Pricing

Line
Qty
Global fee
Pro fee
Primary36836Prq av fstl crtj uxtr 1 acs
1
$8,032.92
$313.63

RVU Breakdown

Component
Office
Facility
Work
7.02
7.02
Practice expense
232.45
1.34
Malpractice
1.03
1.03
Total RVU
240.50
9.39

Payment Policy & Modifiers

Allowed adjustments
Multiple procedure MPPRApplies
When billed with other procedures the same day: highest-valued paid 100%, the rest 50%.
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