49329

Unlstd laps px abd pertm&omn

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Code typePrimary
Payment statusCarrier-priced (C)
Global periodContractor-set global
Carrier-priced: Your Medicare contractor sets the price case by case (often after reviewing documentation).

Pricing with Related Codes

Line
Qty
Global fee
Pro fee
Primary49329Unlstd laps px abd pertm&omn
1
$0.00
$0.00
Add-on49327Lap ins device for rt
0
$116.57/ unit
$116.57/ unit
Whole procedure · 0.00 wRVU credited
$0.00
$0.00
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
0.00
0.00
Practice expense
0.00
0.00
Malpractice
0.00
0.00
Total RVU
0.00
0.00

Payment Policy & Modifiers

Allowed adjustments
Bilateral -50150%
With modifier 50 (both sides), payment is 150% of the single-side amount. $0.00 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%
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.
Team surgery -66By report
Team surgery may be paid case by case with supporting documentation.
Not applicable to this code
Prof / tech split