37259
Revsc evasc ivt stent sf ea
Code typeAdd-on
Paid with — select a primary to see the real payable total
37258
Revsc evasc ivt stent sf 1st
Code typePrimary
Payment statusActive (A)
Global period0-day
Pricing with Related Codes
Line
Qty
Global fee
Pro fee
Primary37258Revsc evasc ivt stent sf 1st
1
$3,562.21
$401.14
Whole procedure · 8.75 wRVU credited
$3,562.21
$401.14
RVU Breakdown
Component
Office
Facility
Work
8.75
8.75
Practice expense
95.81
1.17
Malpractice
2.09
2.09
Total RVU
106.65
12.01
Payment Policy & Modifiers
Allowed adjustments
Bilateral -50150%
With modifier 50 (both sides), payment is 150% of the single-side amount. → $5,343.32 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