74400

Urography iv +-kub tomog

Add to my model
Code typePrimary
Payment statusActive (A)
Global periodNone

Whole-Procedure Pricing

Line
Qty
Global fee
Pro fee
Primary74400Urography iv +-kub tomog
1
$131.93
$131.93

RVU Breakdown

Component
Office
Facility
Work
0.48
0.48
Practice expense
3.42
3.42
Malpractice
0.05
0.05
Total RVU
3.95
3.95

Payment Policy & Modifiers

Allowed adjustments
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 -50Multiple procedure Co-surgeon -62Team surgeon -66