61519

Remove brain lining lesion

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

Pricing with Related Codes

Line
Qty
Global fee
Pro fee
Primary61519Remove brain lining lesion
1
$2,822.38
$2,822.38
Add-on0735TPrep tum cav iort prim crnot
0
$0.00/ unit
$0.00/ unit
Add-on69990Microsurgery add-on
0
$198.07/ unit
$198.07/ unit
Whole procedure · 42.34 wRVU credited
$2,822.38
$2,822.38
How these numbers were computed
  • status=CThis code is not separately payable under the Physician Fee Schedule (status C) — amounts shown are $0.

RVU Breakdown

Component
Office
Facility
Work
42.34
42.34
Practice expense
24.43
24.43
Malpractice
17.73
17.73
Total RVU
84.50
84.50

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.