Unlisted laparoscopic procedures on the uterus

Description

This code is utilized for reporting unlisted laparoscopic or hysteroscopic procedures on the uterus when no specific code is available. It is particularly relevant for innovative or uncommon technologies related to uterine interventions.

Medicare Hospital Outpatient Reimbursement (OPPS)

OPPS Payment Rate

$5,834.36

Calculation:

x=$5,834.36

Patient Copayment / Coinsurance

$1,166.88

Calculation breakdown:

Minimum (20% of rate)$1,166.88

Top Modifiers

Graph View

List View

HCPCS/CPT 51Multiple procedures performed by the same provider(29.11%)

HCPCS/CPT GCServices performed by a resident under the supervision of a teaching physician(22.78%)

HCPCS/CPT CCProcedure code change due to administrative or filing error(16.46%)

HCPCS/CPT ASServices by physician assistant, nurse practitioner, or clinical nurse specialist at surgery(7.59%)

HCPCS/CPT 22Increased procedural services due to unusual complexity(5.06%)

HCPCS/CPT 80Assistant surgeon services during surgical procedures(3.8%)

HCPCS/CPT 62Two surgeons performing distinct parts of a procedure(2.53%)

HCPCS/CPT 59Distinct procedural service for non-E/M services(1.27%)

HCPCS/CPT CRCatastrophe or disaster-related service modifier(1.27%)

HCPCS/CPT XSSeparate structure service on distinct organ or structure(1.27%)

Code Crosswalks

No crosswalks found.

Alternate Codes

No alternates found.

Billed With Codes

No codes found here.

Sources

We make no claims to ownership of the coding systems referenced on this platform. Codes and descriptions are produced from claims and chargemaster data available through the CMS-9915-F Transparency in Coverage Final Rule and via state or federal datasets. This service is provided solely as a reference to encourage use of these codes in our chargemaster review and automated billing tools, so that healthcare professionals can understand and correctly report these codes in their claims.

Federal and State Datasets

List of CPT/HCPCS Codes, Centers for Medicare & Medicaid Services (CMS)
I/OCE Quarterly Release Files, Centers for Medicare & Medicaid Services (CMS)
Physician Fee Schedule Relative Value Files, Centers for Medicare & Medicaid Services (CMS)
OPPS Addendum B, Centers for Medicare & Medicaid Services (CMS)
ASC Payment Addenda, Centers for Medicare & Medicaid Services (CMS)