91133
Electrogastrography w/test
Code typePrimary
Payment statusActive (A)
Global periodNone
Whole-Procedure Pricing
Line
Qty
Global fee
Pro fee
Primary91133Electrogastrography w/test
1
$508.36
$508.36
RVU Breakdown
Component
Office
Facility
Work
0.64
0.64
Practice expense
14.55
14.55
Malpractice
0.03
0.03
Total RVU
15.22
15.22
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