55300
Prepare sperm duct x-ray
Code typePrimary
Payment statusActive (A)
Global period0-day
Whole-Procedure Pricing
Line
Qty
Global fee
Pro fee
Primary55300Prepare sperm duct x-ray
1
$165.00
$165.00
RVU Breakdown
Component
Office
Facility
Work
3.41
3.41
Practice expense
1.10
1.10
Malpractice
0.43
0.43
Total RVU
4.94
4.94
Payment Policy & Modifiers
Allowed adjustments
Bilateral -50Built in
The fee already assumes a bilateral service — modifier 50 doesn't change payment.
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