96130
Psycl tst eval phys/qhp 1st
Code typePrimary
Payment statusActive (A)
Global periodNone
Pricing with Related Codes
Line
Qty
Global fee
Pro fee
Primary96130Psycl tst eval phys/qhp 1st
1
$123.92
$99.53
Whole procedure · 2.56 wRVU credited
$123.92
$99.53
RVU Breakdown
Component
Office
Facility
Work
2.56
2.56
Practice expense
1.06
0.33
Malpractice
0.09
0.09
Total RVU
3.71
2.98
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