65778
Cover eye w/membrane
Code typePrimary
Payment statusActive (A)
Global period0-day
Whole-Procedure Pricing
Line
Qty
Global fee
Pro fee
Primary65778Cover eye w/membrane
1
$1,274.24
$35.74
RVU Breakdown
Component
Office
Facility
Work
0.82
0.82
Practice expense
37.29
0.21
Malpractice
0.04
0.04
Total RVU
38.15
1.07
Payment Policy & Modifiers
Allowed adjustments
Bilateral -50150%
With modifier 50 (both sides), payment is 150% of the single-side amount. → $1,911.36 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