69552
Exc aurl glomus tum trnsmstd
Code typePrimary
Payment statusActive (A)
Global period90-day
Whole-Procedure Pricing
Line
Qty
Global fee
Pro fee
Primary69552Exc aurl glomus tum trnsmstd
1
$1,428.89
$1,428.89
RVU Breakdown
Component
Office
Facility
Work
19.31
19.31
Practice expense
20.65
20.65
Malpractice
2.82
2.82
Total RVU
42.78
42.78
Payment Policy & Modifiers
Allowed adjustments
Bilateral -50150%
With modifier 50 (both sides), payment is 150% of the single-side amount. → $2,143.34 office.
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.
Not applicable to this code
Co-surgeon -62Team surgeon -66Prof / tech split