63290
Bx/exc xdrl/idrl lsn any lvl
Code typePrimary
Payment statusActive (A)
Global period90-day
Pricing with Related Codes
Line
Qty
Global fee
Pro fee
Primary63290Bx/exc xdrl/idrl lsn any lvl
1
$2,684.43
$2,684.43
Whole procedure · 39.80 wRVU credited
$2,684.43
$2,684.43
How these numbers were computed
- status=BThis code is not separately payable under the Physician Fee Schedule (status B) — amounts shown are $0.
RVU Breakdown
Component
Office
Facility
Work
39.80
39.80
Practice expense
23.76
23.76
Malpractice
16.81
16.81
Total RVU
80.37
80.37
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