64911

Neurorraphy w/vein autograft

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

Pricing with Related Codes

Line
Qty
Global fee
Pro fee
Primary64911Neurorraphy w/vein autograft
1
$950.26
$950.26
Add-on0882TIntraop ther estim pn 1st
0
$0.00/ unit
$0.00/ unit
Whole procedure · 13.65 wRVU credited
$950.26
$950.26
How these numbers were computed
  • status=CThis code is not separately payable under the Physician Fee Schedule (status C) — amounts shown are $0.

RVU Breakdown

Component
Office
Facility
Work
13.65
13.65
Practice expense
11.89
11.89
Malpractice
2.91
2.91
Total RVU
28.45
28.45

Payment Policy & Modifiers

Allowed adjustments
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
Bilateral -50Team 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.