61868

Implant neuroelectrde addl

Code typeAdd-on
Paid with — select a primary to see the real payable total

61867

Implant neuroelectrode

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

Pricing with Related Codes

Line
Qty
Global fee
Pro fee
Primary61867Implant neuroelectrode
1
$2,206.46
$2,206.46
Add-on61868Implant neuroelectrde addl
0
$455.92/ unit
$455.92/ unit
Whole procedure · 32.20 wRVU credited
$2,206.46
$2,206.46

RVU Breakdown

Component
Office
Facility
Work
32.20
32.20
Practice expense
20.26
20.26
Malpractice
13.60
13.60
Total RVU
66.06
66.06

Payment Policy & Modifiers

Allowed adjustments
Bilateral -50150%
With modifier 50 (both sides), payment is 150% of the single-side amount. $3,309.69 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.
Not applicable to this code
Team 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.