77772
Hdr rdncl ntrstl/icav brchtx
Code typePrimary
Payment statusActive (A)
Global periodNone
Whole-Procedure Pricing
Line
Qty
Global fee
Pro fee
Primary77772Hdr rdncl ntrstl/icav brchtx
1
$914.85
$914.85
RVU Breakdown
Component
Office
Facility
Work
5.27
5.27
Practice expense
21.73
21.73
Malpractice
0.39
0.39
Total RVU
27.39
27.39
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