G0250
Md inr test revie inter mgmt
Code typePrimary
Payment statusRestricted coverage (R)
Global periodNone
Restricted coverage: Covered only in unusual circumstances; special instructions apply.
Whole-Procedure Pricing
Line
Qty
Global fee
Pro fee
PrimaryG0250Md inr test revie inter mgmt
1
$9.02
$9.02
RVU Breakdown
Component
Office
Facility
Work
0.18
0.18
Practice expense
0.08
0.08
Malpractice
0.01
0.01
Total RVU
0.27
0.27
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