64455

Njx aa&/strd pltr com dg nrv

Add to my model
Code typePrimary
Payment statusActive (A)
Global period0-day

Pricing with Related Codes

Line
Qty
Global fee
Pro fee
Primary64455Njx aa&/strd pltr com dg nrv
1
$50.10
$30.06
Add-on77002Needle localization by xray
0
$121.25/ unit
$121.25/ unit
Whole procedure · 0.73 wRVU credited
$50.10
$30.06

RVU Breakdown

Component
Office
Facility
Work
0.73
0.73
Practice expense
0.70
0.10
Malpractice
0.07
0.07
Total RVU
1.50
0.90

Payment Policy & Modifiers

Allowed adjustments
Bilateral -50150%
With modifier 50 (both sides), payment is 150% of the single-side amount. $75.15 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% · documented
Assistant at surgery (mod 80/81/82) paid at 16% if medical necessity is documented.
Not applicable to this code
Co-surgeon -62Team surgeon -66Prof / tech split