17.81B

Base Rate – $219.00
Name – Fascicular nerve biopsy, with operating microscope

Category – M+ Designated Minor Procedure

Fee Modifiers

Type Code # of calls Explicit Action Amount
BMI
BMI
BMI
ROLE
ROLE
ANU
ANU
SURC
SURC
SURC
SURC
LVP
BMIANE
BMIANT
BMIPRO
ANE
ANEST
ANU
ANU
EV
NTAM
NTPM
WK
LVP75
 
  
  
  
  
 1 
 2 – 150 
  
  
  
  
 
Yes 
 Yes 
 Yes 
 Yes 
 Yes 
  
  
 Yes 
 Yes 
 Yes 
 Yes 
 Yes
Increase By
Increase By
Increase By
Replace Base
Replace Base
For Each Call Pay Base At
For Each Call Increase By
Increase By
Increase By
Increase By
Increase By
Reduce Base To
25%
25%
25%
$108.71
$18.29
100%
$18.29
$48.70
$116.83
$116.83
$48.70
75%

II – Operations On The Nervous System

/ 17 Operations On Cranial And Peripheral Nerves

// 17.8 Invasive diagnostic procedures on peripheral nervous system

/// 17.81 Biopsy of peripheral nerve or ganglion

//// 17.81B


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