57156
Ins vag brachytx device
Code typePrimary
Payment statusActive (A)
Global period0-day
Whole-Procedure Pricing
Line
Qty
Global fee
Pro fee
Primary57156Ins vag brachytx device
1
$223.79
$126.92
RVU Breakdown
Component
Office
Facility
Work
2.62
2.62
Practice expense
3.87
0.97
Malpractice
0.21
0.21
Total RVU
6.70
3.80
Payment Policy & Modifiers
Allowed adjustments
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
Bilateral -50Co-surgeon -62Team surgeon -66Prof / tech split