64912

Nrv rpr w/nrv algrft 1st

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

Pricing with Related Codes

Line
Qty
Global fee
Pro fee
Primary64912Nrv rpr w/nrv algrft 1st
1
$818.99
$818.99
Add-on0882TIntraop ther estim pn 1st
0
$0.00/ unit
$0.00/ unit
Add-on64913Nrv rpr w/nrv algrft ea addl
0
$146.63/ unit
$146.63/ unit
Whole procedure · 11.70 wRVU credited
$818.99
$818.99
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
11.70
11.70
Practice expense
10.56
10.56
Malpractice
2.26
2.26
Total RVU
24.52
24.52

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.