36837

Prq av fstl crt uxtr sep acs

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Code typePrimary
Payment statusActive (A)
Global period0-day

Whole-Procedure Pricing

Line
Qty
Global fee
Pro fee
Primary36837Prq av fstl crt uxtr sep acs
1
$9,092.73
$400.81

RVU Breakdown

Component
Office
Facility
Work
9.07
9.07
Practice expense
261.75
1.52
Malpractice
1.41
1.41
Total RVU
272.23
12.00

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