61516

Crnec treph exc cyst sttl

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

Pricing with Related Codes

Line
Qty
Global fee
Pro fee
Primary61516Crnec treph exc cyst sttl
1
$1,822.02
$1,822.02
Add-on69990Microsurgery add-on
0
$198.07/ unit
$198.07/ unit
Whole procedure · 25.92 wRVU credited
$1,822.02
$1,822.02

RVU Breakdown

Component
Office
Facility
Work
25.92
25.92
Practice expense
17.81
17.81
Malpractice
10.82
10.82
Total RVU
54.55
54.55

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.