94690
O2 uptk rest indirect
Code typePrimary
Payment statusActive (A)
Global periodNone
Whole-Procedure Pricing
Line
Qty
Global fee
Pro fee
Primary94690O2 uptk rest indirect
1
$52.44
$52.44
RVU Breakdown
Component
Office
Facility
Work
0.07
0.07
Practice expense
1.48
1.48
Malpractice
0.02
0.02
Total RVU
1.57
1.57
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