57111

Vagnc compl rmvl paravag tis

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Code typePrimary
Payment statusActive (A)
Global period90-day

Whole-Procedure Pricing

Line
Qty
Global fee
Pro fee
Primary57111Vagnc compl rmvl paravag tis
1
$1,624.95
$1,624.95

RVU Breakdown

Component
Office
Facility
Work
27.69
27.69
Practice expense
14.54
14.54
Malpractice
6.42
6.42
Total RVU
48.65
48.65

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%
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, 12% is attributed to pre-operative care, 74% to the procedure itself, and 14% to post-operative visits.