49595

Rpr aa hrn 1st > 10 rdc

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

Pricing with Related Codes

Line
Qty
Global fee
Pro fee
Primary49595Rpr aa hrn 1st > 10 rdc
1
$704.42
$704.42
Add-on49623Rmvl ninfct mesh hernia rpr
0
$184.04/ unit
$184.04/ unit
Whole procedure · 13.59 wRVU credited
$704.42
$704.42

RVU Breakdown

Component
Office
Facility
Work
13.59
13.59
Practice expense
4.03
4.03
Malpractice
3.47
3.47
Total RVU
21.09
21.09

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