44010

Incision of small bowel

Add to my model
Code typePrimary
Payment statusActive (A)
Global period90-day

Pricing with Related Codes

Line
Qty
Global fee
Pro fee
Primary44010Incision of small bowel
1
$782.58
$782.58
Add-on96547Intraop hipec px 1st 60 min
0
$329.67/ unit
$329.67/ unit
Add-on96548Ntraop hipec px ea add 30min
0
$151.64/ unit
$151.64/ unit
Whole procedure · 13.90 wRVU credited
$782.58
$782.58

RVU Breakdown

Component
Office
Facility
Work
13.90
13.90
Practice expense
6.89
6.89
Malpractice
2.64
2.64
Total RVU
23.43
23.43

Payment Policy & Modifiers

Allowed adjustments
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%
Assistant at surgery (mod 80/81/82) is paid at 16% of the fee schedule amount.
Co-surgeons -6262.5% each
Co-surgeons paid (62.5% each) if medical necessity is documented.
Not applicable to this code
Bilateral -50Team surgeon -66Prof / tech split

Global surgery package

Major surgery: payment covers the day before, the day of, and 90 days after. Of the total payment, 9% is attributed to pre-operative care, 81% to the procedure itself, and 10% to post-operative visits.