37273
Revsc evsc fpvt athrc cplx 1
Code typePrimary
Payment statusActive (A)
Global period0-day
Pricing with Related Codes
Line
Qty
Global fee
Pro fee
Primary37273Revsc evsc fpvt athrc cplx 1
1
$13,228.43
$576.17
Whole procedure · 12.63 wRVU credited
$13,228.43
$576.17
RVU Breakdown
Component
Office
Facility
Work
12.63
12.63
Practice expense
380.61
1.81
Malpractice
2.81
2.81
Total RVU
396.05
17.25
Payment Policy & Modifiers
Allowed adjustments
Bilateral -50150%
With modifier 50 (both sides), payment is 150% of the single-side amount. → $19,842.65 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