58543

Lsh uterus above 250 g

Add to my model
Code typePrimary
Payment statusActive (A)
Global period90-day

Pricing with Related Codes

Line
Qty
Global fee
Pro fee
Primary58543Lsh uterus above 250 g
1
$742.50
$742.50
Add-on49327Lap ins device for rt
0
$116.57/ unit
$116.57/ unit
Whole procedure · 14.03 wRVU credited
$742.50
$742.50

RVU Breakdown

Component
Office
Facility
Work
14.03
14.03
Practice expense
5.73
5.73
Malpractice
2.47
2.47
Total RVU
22.23
22.23

Payment Policy & Modifiers

Allowed adjustments
Multiple procedure MPPRApplies
When billed with other procedures the same day: highest-valued paid 100%, the rest 50%. Add-on codes are exempt.
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 (mod 62) are paid 62.5% of the fee each (125% total, split).
Not applicable to this code
Bilateral -50Team 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.