64714

Revise low back nerve(s)

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

Pricing with Related Codes

Line
Qty
Global fee
Pro fee
Primary64714Revise low back nerve(s)
1
$715.78
$715.78
Add-on64727Internal neurolysis
0
$144.96/ unit
$144.96/ unit
Whole procedure · 10.29 wRVU credited
$715.78
$715.78

RVU Breakdown

Component
Office
Facility
Work
10.29
10.29
Practice expense
8.73
8.73
Malpractice
2.41
2.41
Total RVU
21.43
21.43

Payment Policy & Modifiers

Allowed adjustments
Bilateral -50150%
With modifier 50 (both sides), payment is 150% of the single-side amount. $1,073.67 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.