68100
Biopsy conjunctiva
Code typePrimary
Payment statusActive (A)
Global period0-day
Whole-Procedure Pricing
Line
Qty
Global fee
Pro fee
Primary68100Biopsy conjunctiva
1
$179.70
$81.16
RVU Breakdown
Component
Office
Facility
Work
1.32
1.32
Practice expense
3.95
1.00
Malpractice
0.11
0.11
Total RVU
5.38
2.43
Payment Policy & Modifiers
Allowed adjustments
Bilateral -50150%
With modifier 50 (both sides), payment is 150% of the single-side amount. → $269.55 office.
Multiple procedure MPPRApplies
When billed with other procedures the same day: highest-valued paid 100%, the rest 50%.
Not applicable to this code
Assistant surgeon Co-surgeon -62Team surgeon -66Prof / tech split