14.49B

Base Rate – $1,791.41
Name – Removal of tumor of cerebellopontine angle

Category – 14 Major Procedure (pre-operative period: 30 days, post-operative period: 14 days)

Fee Modifiers

Type Code # of calls Explicit Action Amount
BMI
BMI
BMI
ROLE
ROLE
ROLE
ROLE
ROLE
ROLE
VANE
VANE
2ANU
2ANU
SAU
SAU
2MNU
2MNU
SAQU
SURC
SURC
SURC
SURC
LMTS
LVP
BMIANE
BMIPRO
BMI2AN
ANE
MSRGN
SA
SAQS
SSST
2ANES
L30AN
L30AT2
2ANU
2ANU
SAU
SAU
2MNU
2MNU
SAQU
EV
NTAM
NTPM
WK
L44ANE
LVP75
 
  
  
  
  
  
  
  
  
  
  
 1 
 2 – 150 
 1 
 2 – 99 
 1 – 7 
  
 1 – 99 
  
  
  
  
  
 
Yes 
 Yes 
 Yes 
 Yes 
 Yes 
 Yes 
 Yes 
 Yes 
 Yes 
  
  
  
  
  
  
  
  
  
 Yes 
 Yes 
 Yes 
 Yes 
 Yes 
 Yes
Increase By
Increase By
Increase By
Replace Base
Replace Base
Replace Base
Replace Base
Replace Base
Replace Base
Increase By
Increase By
For Each Call Pay Base At
For Each Call Increase By
For Each Call Pay Base At
For Each Call Increase By
For Each Call Pay Base At
To a Maximum Of
For Each Call Pay Base At
Increase By
Increase By
Increase By
Increase By
Increase Base By
Reduce Base To
25%
25%
25%
$825.79
$417.75
$147.31
$50.72
$278.77
$21.95
$107.74
$107.74
100%
$21.95
100%
$36.86
100%
$2,924.25
100%
$48.70
$116.83
$116.83
$48.70
$107.74
75%

II – Operations On The Nervous System

/ 14 Incision And Excision Of Skull Brain And Cerebral Meninges

// 14.4 Other excision or destruction of brain and meninges

/// 14.49 Other excision or destruction of lesion or tissue of brain

//// 14.49B


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