50544

Laparoscopy pyeloplasty

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

Pricing with Related Codes

Line
Qty
Global fee
Pro fee
Primary50544Laparoscopy pyeloplasty
1
$1,103.23
$1,103.23
Add-on49327Lap ins device for rt
0
$116.57/ unit
$116.57/ unit
Whole procedure · 22.79 wRVU credited
$1,103.23
$1,103.23

RVU Breakdown

Component
Office
Facility
Work
22.79
22.79
Practice expense
7.29
7.29
Malpractice
2.95
2.95
Total RVU
33.03
33.03

Payment Policy & Modifiers

Allowed adjustments
Bilateral -50150%
With modifier 50 (both sides), payment is 150% of the single-side amount. $1,654.85 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.