76801
Ob us < 14 wks single fetus
Code typePrimary
Payment statusActive (A)
Global periodNone
Pricing with Related Codes
Line
Qty
Global fee
Pro fee
Primary76801Ob us < 14 wks single fetus
1
$116.90
$116.90
Whole procedure · 0.97 wRVU credited
$116.90
$116.90
RVU Breakdown
Component
Office
Facility
Work
0.97
0.97
Practice expense
2.47
2.47
Malpractice
0.06
0.06
Total RVU
3.50
3.50
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