96004
Phys review of motion tests
Code typePrimary
Payment statusActive (A)
Global periodNone
Whole-Procedure Pricing
Line
Qty
Global fee
Pro fee
Primary96004Phys review of motion tests
1
$106.21
$106.21
RVU Breakdown
Component
Office
Facility
Work
2.09
2.09
Practice expense
0.95
0.95
Malpractice
0.14
0.14
Total RVU
3.18
3.18
Payment Policy & Modifiers
Allowed adjustments
Bilateral -50Built in
The fee already assumes a bilateral service — modifier 50 doesn't change payment.
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
Multiple procedure Co-surgeon -62Team surgeon -66Prof / tech split