37294

Rvsc evsc tpvt st athr cpx 1

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Code typePrimary
Payment statusActive (A)
Global period0-day

Pricing with Related Codes

Line
Qty
Global fee
Pro fee
Primary37294Rvsc evsc tpvt st athr cpx 1
1
$15,198.75
$813.98
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-on37281Revsc evsc tpvt angio sf ea
0
$736.16/ unit
$134.61/ unit
Add-on37283Rvsc evsc tpvt angio cplx ea
0
$863.08/ unit
$191.72/ unit
Add-on37285Revsc evasc tpvt st sf ea
0
$2,787.97/ unit
$152.31/ unit
Add-on37287Revsc evasc tpvt st cplx ea
0
$4,940.33/ unit
$229.13/ unit
Add-on37289Revsc evsc tpvt athrc sf ea
0
$921.53/ unit
$214.77/ unit
Add-on37291Revsc evsc tpvt athr cplx ea
0
$1,075.51/ unit
$292.93/ unit
Add-on37293Rvsc evsc tpvt st athr sf ea
0
$3,509.10/ unit
$298.60/ unit
Add-on37295Rvsc evsc tpvt st ath cpx ea
0
$6,001.81/ unit
$376.43/ unit
Whole procedure · 18.00 wRVU credited
$15,198.75
$813.98

RVU Breakdown

Component
Office
Facility
Work
18.00
18.00
Practice expense
433.39
2.72
Malpractice
3.65
3.65
Total RVU
455.04
24.37

Payment Policy & Modifiers

Allowed adjustments
Bilateral -50150%
With modifier 50 (both sides), payment is 150% of the single-side amount. $22,798.13 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