52345

Cysto/uretero w/up stricture

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

Whole-Procedure Pricing

Line
Qty
Global fee
Pro fee
Primary52345Cysto/uretero w/up stricture
1
$346.37
$346.37

RVU Breakdown

Component
Office
Facility
Work
7.36
7.36
Practice expense
2.06
2.06
Malpractice
0.95
0.95
Total RVU
10.37
10.37

Payment Policy & Modifiers

Allowed adjustments
Bilateral -50150%
With modifier 50 (both sides), payment is 150% of the single-side amount. $519.56 office.
Multiple procedure MPPRApplies
Special multiple-endoscopy rules apply within the same endoscopy family, then standard ranking.
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