97537
Community/work reintegration
Code typePrimary
Payment statusActive (A)
Global periodNone
Pricing with Related Codes
Line
Qty
Global fee
Pro fee
Primary97537Community/work reintegration
1
$32.06
$32.06
Whole procedure · 0.48 wRVU credited
$32.06
$32.06
How these numbers were computed
- status=CThis code is not separately payable under the Physician Fee Schedule (status C) — amounts shown are $0.
RVU Breakdown
Component
Office
Facility
Work
0.48
0.48
Practice expense
0.47
0.47
Malpractice
0.01
0.01
Total RVU
0.96
0.96
Payment Policy & Modifiers
Allowed adjustments
Multiple procedure MPPRApplies
Practice-expense component reduced 50% for subsequent therapy services. Add-on codes are exempt.
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 -50Co-surgeon -62Team surgeon -66Prof / tech split