68510

Biopsy of tear gland

Add to my model
Code typePrimary
Payment statusActive (A)
Global period0-day

Whole-Procedure Pricing

Line
Qty
Global fee
Pro fee
Primary68510Biopsy of tear gland
1
$450.91
$234.81

RVU Breakdown

Component
Office
Facility
Work
4.49
4.49
Practice expense
8.65
2.18
Malpractice
0.36
0.36
Total RVU
13.50
7.03

Payment Policy & Modifiers

Allowed adjustments
Bilateral -50150%
With modifier 50 (both sides), payment is 150% of the single-side amount. $676.37 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