37265

Revsc evsc fpvt 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
Primary37265Revsc evsc fpvt angio cplx 1
1
$6,828.15
$481.64
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-on37264Revsc evasc fpvt angio sf ea
0
$2,183.42/ unit
$136.28/ unit
Add-on37266Rvsc evsc fpvt angio cplx ea
0
$2,440.94/ unit
$181.37/ unit
Add-on37279Iv lithotrp fpvt w/in sm art
0
$4,636.04/ unit
$181.70/ unit
Whole procedure · 10.50 wRVU credited
$6,828.15
$481.64

RVU Breakdown

Component
Office
Facility
Work
10.50
10.50
Practice expense
191.45
1.44
Malpractice
2.48
2.48
Total RVU
204.43
14.42

Payment Policy & Modifiers

Allowed adjustments
Bilateral -50150%
With modifier 50 (both sides), payment is 150% of the single-side amount. $10,242.22 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