99478
Sbsq ic vlbw inf<1,500 gm
Code typePrimary
Payment statusActive (A)
Global periodNone
Pricing with Related Codes
Line
Qty
Global fee
Pro fee
Primary99478Sbsq ic vlbw inf<1,500 gm
1
$115.90
$115.90
Whole procedure · 2.75 wRVU credited
$115.90
$115.90
RVU Breakdown
Component
Office
Facility
Work
2.75
2.75
Practice expense
0.55
0.55
Malpractice
0.17
0.17
Total RVU
3.47
3.47
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