37256

Revsc evasc ivt angio cplx 1

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

Pricing with Related Codes

Line
Qty
Global fee
Pro fee
Primary37256Revsc evasc ivt angio cplx 1
1
$2,430.25
$492.00
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-on37257Revsc evsc ivt angio cplx ea
0
$579.51/ unit
$176.02/ unit
Add-on37262Iv lithotrp ivt w/in sm art
0
$3,409.23/ unit
$135.94/ unit
Whole procedure · 10.75 wRVU credited
$2,430.25
$492.00

RVU Breakdown

Component
Office
Facility
Work
10.75
10.75
Practice expense
59.50
1.47
Malpractice
2.51
2.51
Total RVU
72.76
14.73

Payment Policy & Modifiers

Allowed adjustments
Bilateral -50150%
With modifier 50 (both sides), payment is 150% of the single-side amount. $3,645.38 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