69717

Rplcmt oi implt skl prq esp

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Code typePrimary
Payment statusActive (A)
Global period90-day

Whole-Procedure Pricing

Line
Qty
Global fee
Pro fee
Primary69717Rplcmt oi implt skl prq esp
1
$492.66
$492.66

RVU Breakdown

Component
Office
Facility
Work
7.71
7.71
Practice expense
5.91
5.91
Malpractice
1.13
1.13
Total RVU
14.75
14.75

Payment Policy & Modifiers

Allowed adjustments
Bilateral -50150%
With modifier 50 (both sides), payment is 150% of the single-side amount. $738.99 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

Global surgery package

Major surgery: payment covers the day before, the day of, and 90 days after. Of the total payment, 7% is attributed to pre-operative care, 79% to the procedure itself, and 14% to post-operative visits.