G0276
Pild/placebo control clin tr
Code typePrimary
Payment statusRestricted coverage (R)
Global period0-day
Restricted coverage: Covered only in unusual circumstances; special instructions apply.
Whole-Procedure Pricing
Line
Qty
Global fee
Pro fee
PrimaryG0276Pild/placebo control clin tr
1
$358.73
$358.73
RVU Breakdown
Component
Office
Facility
Work
6.99
6.99
Practice expense
3.03
3.03
Malpractice
0.72
0.72
Total RVU
10.74
10.74
Payment Policy & Modifiers
Allowed adjustments
Bilateral -50Built in
The fee already assumes a bilateral service — modifier 50 doesn't change payment.
Multiple procedure MPPRApplies
When billed with other procedures the same day: highest-valued paid 100%, the rest 50%.
Assistant surgeon -80/81/8216%
Assistant at surgery (mod 80/81/82) is paid at 16% of the fee schedule amount.
Co-surgeons -6262.5% each
Co-surgeons paid (62.5% each) if medical necessity is documented.
Not applicable to this code
Team surgeon -66Prof / tech split