49622

Rpr parastomal hrna ncr/strn

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

Pricing with Related Codes

Line
Qty
Global fee
Pro fee
Primary49622Rpr parastomal hrna ncr/strn
1
$849.72
$849.72
Add-on49623Rmvl ninfct mesh hernia rpr
0
$184.04/ unit
$184.04/ unit
Whole procedure · 16.63 wRVU credited
$849.72
$849.72

RVU Breakdown

Component
Office
Facility
Work
16.63
16.63
Practice expense
4.71
4.71
Malpractice
4.10
4.10
Total RVU
25.44
25.44

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