77306
Telethx isodose plan simple
Code typePrimary
Payment statusActive (A)
Global periodNone
Whole-Procedure Pricing
Line
Qty
Global fee
Pro fee
Primary77306Telethx isodose plan simple
1
$150.30
$150.30
RVU Breakdown
Component
Office
Facility
Work
1.37
1.37
Practice expense
3.05
3.05
Malpractice
0.08
0.08
Total RVU
4.50
4.50
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