50500

Repair of kidney wound

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Code typePrimary
Payment statusActive (A)
Global period90-day

Whole-Procedure Pricing

Line
Qty
Global fee
Pro fee
Primary50500Repair of kidney wound
1
$1,210.45
$1,210.45

RVU Breakdown

Component
Office
Facility
Work
20.69
20.69
Practice expense
10.02
10.02
Malpractice
5.53
5.53
Total RVU
36.24
36.24

Payment Policy & Modifiers

Allowed adjustments
Multiple procedure MPPRApplies
When billed with other procedures the same day: highest-valued paid 100%, the rest 50%.
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

Global surgery package

Major surgery: payment covers the day before, the day of, and 90 days after. Of the total payment, 8% is attributed to pre-operative care, 83% to the procedure itself, and 9% to post-operative visits.