49613
Rpr aa hrn rcr < 3 rdc
Code typePrimary
Payment statusActive (A)
Global period0-day
Pricing with Related Codes
Line
Qty
Global fee
Pro fee
Primary49613Rpr aa hrn rcr < 3 rdc
1
$387.12
$387.12
Whole procedure · 7.23 wRVU credited
$387.12
$387.12
RVU Breakdown
Component
Office
Facility
Work
7.23
7.23
Practice expense
2.50
2.50
Malpractice
1.86
1.86
Total RVU
11.59
11.59
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