58575

Laps tot hyst resj mal

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

Pricing with Related Codes

Line
Qty
Global fee
Pro fee
Primary58575Laps tot hyst resj mal
1
$1,775.59
$1,775.59
Add-on96547Intraop hipec px 1st 60 min
0
$329.67/ unit
$329.67/ unit
Add-on96548Ntraop hipec px ea add 30min
0
$151.64/ unit
$151.64/ unit
Whole procedure · 31.79 wRVU credited
$1,775.59
$1,775.59

RVU Breakdown

Component
Office
Facility
Work
31.79
31.79
Practice expense
14.52
14.52
Malpractice
6.85
6.85
Total RVU
53.16
53.16

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%. 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
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.