94610
Intrapulm surfactant admn
Code typePrimary
Payment statusActive (A)
Global periodNone
Whole-Procedure Pricing
Line
Qty
Global fee
Pro fee
Primary94610Intrapulm surfactant admn
1
$47.76
$47.76
RVU Breakdown
Component
Office
Facility
Work
1.13
1.13
Practice expense
0.23
0.23
Malpractice
0.07
0.07
Total RVU
1.43
1.43
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.
Not applicable to this code
Bilateral -50Multiple procedure Co-surgeon -62Team surgeon -66Prof / tech split