37255

Revsc evasc ivt angio sf ea

Code typeAdd-on
Paid with — select a primary to see the real payable total

37254

Revsc evasc ivt angio sf 1st

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

Pricing with Related Codes

Line
Qty
Global fee
Pro fee
Primary37254Revsc evasc ivt angio sf 1st
1
$2,072.53
$335.68
Add-on37252Intrvasc us noncoronary 1st
0
$895.48/ unit
$79.16/ unit
Add-on37253Intrvasc us noncoronary addl
0
$169.68/ unit
$62.46/ unit
Add-on37255Revsc evasc ivt angio sf ea
0
$510.03/ unit
$135.94/ unit
Add-on37262Iv lithotrp ivt w/in sm art
0
$3,409.23/ unit
$135.94/ unit
Whole procedure · 7.30 wRVU credited
$2,072.53
$335.68

RVU Breakdown

Component
Office
Facility
Work
7.30
7.30
Practice expense
53.04
1.04
Malpractice
1.71
1.71
Total RVU
62.05
10.05

Payment Policy & Modifiers

Allowed adjustments
Bilateral -50150%
With modifier 50 (both sides), payment is 150% of the single-side amount. $3,108.80 office.
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
Co-surgeon -62Team surgeon -66Prof / tech split