76017
Mr sfty med physics xm cstmz
Code typePrimary
Payment statusActive (A)
Global periodNone
Whole-Procedure Pricing
Line
Qty
Global fee
Pro fee
Primary76017Mr sfty med physics xm cstmz
1
$221.78
$221.78
RVU Breakdown
Component
Office
Facility
Work
0.74
0.74
Practice expense
5.79
5.79
Malpractice
0.11
0.11
Total RVU
6.64
6.64
Payment Policy & Modifiers
Allowed adjustments
Multiple procedure MPPRApplies
Technical component of multiple diagnostic-imaging services reduced 50%.
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