49084
Peritoneal lavage
Code typePrimary
Payment statusActive (A)
Global period0-day
Whole-Procedure Pricing
Line
Qty
Global fee
Pro fee
Primary49084Peritoneal lavage
1
$95.86
$95.86
RVU Breakdown
Component
Office
Facility
Work
1.95
1.95
Practice expense
0.46
0.46
Malpractice
0.46
0.46
Total RVU
2.87
2.87
Payment Policy & Modifiers
Allowed adjustments
Multiple procedure MPPRApplies
When billed with other procedures the same day: highest-valued paid 100%, the rest 50%.
Not applicable to this code
Bilateral -50Assistant surgeon Co-surgeon -62Team surgeon -66Prof / tech split