76513
Oph us dx ant sgm us uni/bi
Code typePrimary
Payment statusActive (A)
Global periodNone
Whole-Procedure Pricing
Line
Qty
Global fee
Pro fee
Primary76513Oph us dx ant sgm us uni/bi
1
$76.49
$76.49
RVU Breakdown
Component
Office
Facility
Work
0.59
0.59
Practice expense
1.68
1.68
Malpractice
0.02
0.02
Total RVU
2.29
2.29
Payment Policy & Modifiers
Allowed adjustments
Bilateral -50100% each
The usual 150% cap does not apply — each side is paid in full.
Multiple procedure MPPRApplies
Technical component of subsequent diagnostic ophthalmology services reduced 25%.
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
Co-surgeon -62Team surgeon -66