37269

Revsc evasc fpvt st cplx 1st

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

Pricing with Related Codes

Line
Qty
Global fee
Pro fee
Primary37269Revsc evasc fpvt st cplx 1st
1
$11,553.37
$674.70
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-on37268Revsc evasc fpvt stent sf ea
0
$3,360.13/ unit
$169.68/ unit
Add-on37270Revsc evasc fpvt st cplx ea
0
$3,495.74/ unit
$227.79/ unit
Add-on37279Iv lithotrp fpvt w/in sm art
0
$4,636.04/ unit
$181.70/ unit
Whole procedure · 14.75 wRVU credited
$11,553.37
$674.70

RVU Breakdown

Component
Office
Facility
Work
14.75
14.75
Practice expense
327.62
1.92
Malpractice
3.53
3.53
Total RVU
345.90
20.20

Payment Policy & Modifiers

Allowed adjustments
Bilateral -50150%
With modifier 50 (both sides), payment is 150% of the single-side amount. $17,330.06 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