64569
Revise/repl vagus n eltrd
Code typePrimary
Payment statusActive (A)
Global period90-day
Whole-Procedure Pricing
Line
Qty
Global fee
Pro fee
Primary64569Revise/repl vagus n eltrd
1
$746.18
$746.18
RVU Breakdown
Component
Office
Facility
Work
10.73
10.73
Practice expense
7.89
7.89
Malpractice
3.72
3.72
Total RVU
22.34
22.34
Payment Policy & Modifiers
Allowed adjustments
Bilateral -50150%
With modifier 50 (both sides), payment is 150% of the single-side amount. → $1,119.27 office.
Multiple procedure MPPRApplies
When billed with other procedures the same day: highest-valued paid 100%, the rest 50%.
Assistant surgeon -80/81/8216% · documented
Assistant at surgery (mod 80/81/82) paid at 16% if medical necessity is documented.
Co-surgeons -6262.5% each
Co-surgeons paid (62.5% each) if medical necessity is documented.
Team surgery -66By report
Team surgery may be paid case by case with supporting documentation.
Not applicable to this code
Prof / tech split