38505

Needle biopsy lymph nodes

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Code typePrimary
Payment statusActive (A)
Global period0-day

Pricing with Related Codes

Line
Qty
Global fee
Pro fee
Primary38505Needle biopsy lymph nodes
1
$170.34
$74.82
Add-on77002Needle localization by xray
0
$121.25/ unit
$121.25/ unit
Whole procedure · 1.55 wRVU credited
$170.34
$74.82

RVU Breakdown

Component
Office
Facility
Work
1.55
1.55
Practice expense
3.38
0.52
Malpractice
0.17
0.17
Total RVU
5.10
2.24

Payment Policy & Modifiers

Allowed adjustments
Bilateral -50150%
With modifier 50 (both sides), payment is 150% of the single-side amount. $255.51 office.
Multiple procedure MPPRApplies
When billed with other procedures the same day: highest-valued paid 100%, the rest 50%. Add-on codes are exempt.
Not applicable to this code
Assistant surgeon Co-surgeon -62Team surgeon -66Prof / tech split