37242

Vasc embolize/occlude artery

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

Pricing with Related Codes

Line
Qty
Global fee
Pro fee
Primary37242Vasc embolize/occlude artery
1
$6,675.17
$413.50
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 · 9.56 wRVU credited
$6,675.17
$413.50

RVU Breakdown

Component
Office
Facility
Work
9.56
9.56
Practice expense
188.81
1.34
Malpractice
1.48
1.48
Total RVU
199.85
12.38

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% · documented
Assistant at surgery (mod 80/81/82) paid at 16% if medical necessity is documented.
Not applicable to this code
Bilateral -50Co-surgeon -62Team surgeon -66Prof / tech split