69155
Extensive ear/neck surgery
Code typePrimary
Payment statusActive (A)
Global period90-day
Whole-Procedure Pricing
Line
Qty
Global fee
Pro fee
Primary69155Extensive ear/neck surgery
1
$1,431.23
$1,431.23
RVU Breakdown
Component
Office
Facility
Work
22.77
22.77
Practice expense
16.76
16.76
Malpractice
3.32
3.32
Total RVU
42.85
42.85
Payment Policy & Modifiers
Allowed adjustments
Multiple procedure MPPRApplies
When billed with other procedures the same day: highest-valued paid 100%, the rest 50%.
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