96936

Rcm i&r only ea addl lesion

Code typeAdd-on
Paid with — select a primary to see the real payable total

96933

Rcm i&r only 1st lesion

Add to my model
Code typePrimary
Payment statusActive (A)
Global periodNone

Pricing with Related Codes

Line
Qty
Global fee
Pro fee
Primary96933Rcm i&r only 1st lesion
1
$42.09
$42.09
Add-on96936Rcm i&r only ea addl lesion
0
$39.41/ unit
$39.41/ unit
Whole procedure · 0.78 wRVU credited
$42.09
$42.09

RVU Breakdown

Component
Office
Facility
Work
0.78
0.78
Practice expense
0.45
0.45
Malpractice
0.03
0.03
Total RVU
1.26
1.26

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