50430

Njx px nfrosgrm &/urtrgrm

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

Pricing with Related Codes

Line
Qty
Global fee
Pro fee
Primary50430Njx px nfrosgrm &/urtrgrm
1
$616.91
$135.61
Add-on50606Endoluminal bx urtr rnl plvs
0
$475.63/ unit
$125.92/ unit
Add-on50705Ureteral embolization/occl
0
$1,770.25/ unit
$159.66/ unit
Add-on50706Balloon dilate urtrl strix
0
$792.94/ unit
$155.31/ unit
Whole procedure · 2.83 wRVU credited
$616.91
$135.61

RVU Breakdown

Component
Office
Facility
Work
2.83
2.83
Practice expense
15.30
0.89
Malpractice
0.34
0.34
Total RVU
18.47
4.06

Payment Policy & Modifiers

Allowed adjustments
Bilateral -50150%
With modifier 50 (both sides), payment is 150% of the single-side amount. $925.37 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% · documented
Assistant at surgery (mod 80/81/82) paid at 16% if medical necessity is documented.
Not applicable to this code
Co-surgeon -62Team surgeon -66Prof / tech split