50541

Laparo ablate renal cyst

Add to my model
Code typePrimary
Payment statusActive (A)
Global period90-day

Pricing with Related Codes

Line
Qty
Global fee
Pro fee
Primary50541Laparo ablate renal cyst
1
$820.99
$820.99
Add-on49327Lap ins device for rt
0
$116.57/ unit
$116.57/ unit
Whole procedure · 16.44 wRVU credited
$820.99
$820.99

RVU Breakdown

Component
Office
Facility
Work
16.44
16.44
Practice expense
5.99
5.99
Malpractice
2.15
2.15
Total RVU
24.58
24.58

Payment Policy & Modifiers

Allowed adjustments
Bilateral -50150%
With modifier 50 (both sides), payment is 150% of the single-side amount. $1,231.49 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%
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
Team 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.