93931
Upper extremity study
Code typePrimary
Payment statusActive (A)
Global periodNone
Whole-Procedure Pricing
Line
Qty
Global fee
Pro fee
Primary93931Upper extremity study
1
$120.91
$120.91
RVU Breakdown
Component
Office
Facility
Work
0.49
0.49
Practice expense
3.06
3.06
Malpractice
0.07
0.07
Total RVU
3.62
3.62
Payment Policy & Modifiers
Allowed adjustments
Multiple procedure MPPRApplies
Technical component of subsequent diagnostic cardiovascular services reduced 25%.
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