59409

Obstetrical care

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Code typePrimary
Payment statusActive (A)
Global periodMaternity

Whole-Procedure Pricing

Line
Qty
Global fee
Pro fee
Primary59409Obstetrical care
1
$721.79
$721.79

RVU Breakdown

Component
Office
Facility
Work
14.37
14.37
Practice expense
3.22
3.22
Malpractice
4.02
4.02
Total RVU
21.61
21.61

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