64712

Revision of sciatic nerve

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

Pricing with Related Codes

Line
Qty
Global fee
Pro fee
Primary64712Revision of sciatic nerve
1
$557.46
$557.46
Add-on64727Internal neurolysis
0
$144.96/ unit
$144.96/ unit
Whole procedure · 7.87 wRVU credited
$557.46
$557.46

RVU Breakdown

Component
Office
Facility
Work
7.87
7.87
Practice expense
7.14
7.14
Malpractice
1.68
1.68
Total RVU
16.69
16.69

Payment Policy & Modifiers

Allowed adjustments
Bilateral -50150%
With modifier 50 (both sides), payment is 150% of the single-side amount. $836.19 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.