72133
Ct lumbar spine w/o & w/dye
Code typePrimary
Payment statusActive (A)
Global periodNone
Pricing with Related Codes
Line
Qty
Global fee
Pro fee
Primary72133Ct lumbar spine w/o & w/dye
1
$196.73
$196.73
Whole procedure · 1.24 wRVU credited
$196.73
$196.73
How these numbers were computed
- status=CThis code is not separately payable under the Physician Fee Schedule (status C) — amounts shown are $0.
RVU Breakdown
Component
Office
Facility
Work
1.24
1.24
Practice expense
4.56
4.56
Malpractice
0.09
0.09
Total RVU
5.89
5.89
Payment Policy & Modifiers
Allowed adjustments
Multiple procedure MPPRApplies
Technical component of multiple diagnostic-imaging services reduced 50%. Add-on codes are exempt.
Assistant surgeon -80/81/8216% · documented
Assistant at surgery (mod 80/81/82) paid at 16% if medical necessity is documented.
Prof / tech split -26 / -TCSplit
Has professional (-26) and technical (-TC) components, each priced separately.
Not applicable to this code
Bilateral -50Co-surgeon -62Team surgeon -66