76856
Us exam pelvic complete
Code typePrimary
Payment statusActive (A)
Global periodNone
Pricing with Related Codes
Line
Qty
Global fee
Pro fee
Primary76856Us exam pelvic complete
1
$105.21
$105.21
Whole procedure · 0.67 wRVU credited
$105.21
$105.21
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
0.67
0.67
Practice expense
2.43
2.43
Malpractice
0.05
0.05
Total RVU
3.15
3.15
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