61304

Crnec/crnot expl supratntorl

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

Pricing with Related Codes

Line
Qty
Global fee
Pro fee
Primary61304Crnec/crnot expl supratntorl
1
$1,608.92
$1,608.92
Add-on61316Inc&subq plmt crnl bone grf
0
$79.83/ unit
$79.83/ unit
Add-on69990Microsurgery add-on
0
$198.07/ unit
$198.07/ unit
Whole procedure · 22.82 wRVU credited
$1,608.92
$1,608.92

RVU Breakdown

Component
Office
Facility
Work
22.82
22.82
Practice expense
15.82
15.82
Malpractice
9.53
9.53
Total RVU
48.17
48.17

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 paid (62.5% each) if medical necessity is documented.
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, 11% is attributed to pre-operative care, 76% to the procedure itself, and 13% to post-operative visits.