58555
Hysteroscopy dx sep proc
Code typePrimary
Payment statusActive (A)
Global period0-day
Whole-Procedure Pricing
Line
Qty
Global fee
Pro fee
Primary58555Hysteroscopy dx sep proc
1
$328.00
$134.61
RVU Breakdown
Component
Office
Facility
Work
2.58
2.58
Practice expense
6.79
1.00
Malpractice
0.45
0.45
Total RVU
9.82
4.03
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.
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