64455
Njx aa&/strd pltr com dg nrv
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
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