G0516
Insert drug del implant, >=4
Code typePrimary
Payment statusActive (A)
Global period0-day
Whole-Procedure Pricing
Line
Qty
Global fee
Pro fee
PrimaryG0516Insert drug del implant, >=4
1
$175.02
$84.84
RVU Breakdown
Component
Office
Facility
Work
1.77
1.77
Practice expense
3.32
0.62
Malpractice
0.15
0.15
Total RVU
5.24
2.54
Payment Policy & Modifiers
Allowed adjustments
Multiple procedure MPPRApplies
When billed with other procedures the same day: highest-valued paid 100%, the rest 50%.
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