43264

Ercp remove duct calculi

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

Pricing with Related Codes

Line
Qty
Global fee
Pro fee
Primary43264Ercp remove duct calculi
1
$317.31
$317.31
Add-on0397TErcp w/optical endomicroscpy
0
$0.00/ unit
$0.00/ unit
Add-on43273Endoscopic pancreatoscopy
0
$101.87/ unit
$101.87/ unit
Whole procedure · 6.46 wRVU credited
$317.31
$317.31
How these numbers were computed
  • status=CThis code is not separately payable under the Physician Fee Schedule (status C) — amounts shown are $0.

RVU Breakdown

Component
Office
Facility
Work
6.46
6.46
Practice expense
2.32
2.32
Malpractice
0.72
0.72
Total RVU
9.50
9.50

Payment Policy & Modifiers

Allowed adjustments
Multiple procedure MPPRApplies
Special multiple-endoscopy rules apply within the same endoscopy family, then standard ranking. Add-on codes are exempt.
Not applicable to this code
Bilateral -50Assistant surgeon Co-surgeon -62Team surgeon -66Prof / tech split