61592
Orbitocranial approach/skull
Code typePrimary
Payment statusActive (A)
Global period90-day
Pricing with Related Codes
Line
Qty
Global fee
Pro fee
Primary61592Orbitocranial approach/skull
1
$3,033.47
$3,033.47
Whole procedure · 42.00 wRVU credited
$3,033.47
$3,033.47
RVU Breakdown
Component
Office
Facility
Work
42.00
42.00
Practice expense
32.70
32.70
Malpractice
16.12
16.12
Total RVU
90.82
90.82
Payment Policy & Modifiers
Allowed adjustments
Bilateral -50150%
With modifier 50 (both sides), payment is 150% of the single-side amount. → $4,550.21 office.
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.
Team surgery -66By report
Team surgery is priced 'by report' — the contractor sets the amount; no standard percentage.
Not applicable to this code
Prof / tech split