61630

Balo angioplasty icr perq

Add to my model
Code typePrimary
Payment statusRestricted coverage (R)
Global periodNone
Restricted coverage: Covered only in unusual circumstances; special instructions apply.

Pricing with Related Codes

Line
Qty
Global fee
Pro fee
Primary61630Balo angioplasty icr perq
1
$1,254.54
$1,254.54
Add-on0986TIv img icr cere vsl oct 1st
0
$0.00/ unit
$0.00/ unit
Add-on69990Microsurgery add-on
0
$198.07/ unit
$198.07/ unit
Whole procedure · 21.52 wRVU credited
$1,254.54
$1,254.54
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
21.52
21.52
Practice expense
9.22
9.22
Malpractice
6.82
6.82
Total RVU
37.56
37.56

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