49616
Rpr aa hrn rcr 3-10 ncr/strn
Code typePrimary
Payment statusActive (A)
Global period0-day
Pricing with Related Codes
Line
Qty
Global fee
Pro fee
Primary49616Rpr aa hrn rcr 3-10 ncr/strn
1
$783.25
$783.25
Whole procedure · 15.16 wRVU credited
$783.25
$783.25
RVU Breakdown
Component
Office
Facility
Work
15.16
15.16
Practice expense
4.34
4.34
Malpractice
3.95
3.95
Total RVU
23.45
23.45
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