65410

Biopsy of cornea

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Code typePrimary
Payment statusActive (A)
Global period0-day

Whole-Procedure Pricing

Line
Qty
Global fee
Pro fee
Primary65410Biopsy of cornea
1
$143.96
$86.51

RVU Breakdown

Component
Office
Facility
Work
1.43
1.43
Practice expense
2.77
1.05
Malpractice
0.11
0.11
Total RVU
4.31
2.59

Payment Policy & Modifiers

Allowed adjustments
Bilateral -50150%
With modifier 50 (both sides), payment is 150% of the single-side amount. $215.94 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.
Not applicable to this code
Co-surgeon -62Team surgeon -66Prof / tech split