54800
Biopsy of epididymis
Code typePrimary
Payment statusActive (A)
Global period0-day
Whole-Procedure Pricing
Line
Qty
Global fee
Pro fee
Primary54800Biopsy of epididymis
1
$111.22
$111.22
RVU Breakdown
Component
Office
Facility
Work
2.27
2.27
Practice expense
0.78
0.78
Malpractice
0.28
0.28
Total RVU
3.33
3.33
Payment Policy & Modifiers
Allowed adjustments
Bilateral -50150%
With modifier 50 (both sides), payment is 150% of the single-side amount. → $166.83 office.
Multiple procedure MPPRApplies
When billed with other procedures the same day: highest-valued paid 100%, the rest 50%.
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