Fee Navigator®

    Health Service Code 01.09

    Other nonoperative bronchoscopy

    1. No additional benefit for aspiration.
    2. May be claimed in addition to HSC 43.96E and 45.88A.
    3. For a repeat, during the same hospitalization, benefit will be reduced. Refer to Price List.
    4. For patients aged 12 months or younger, the procedural benefit varies. Refer to the Price List; modifier L1.
    Category:M+ Designated Minor Procedure
    Base rate:$132.62

    Fee modifiers:

    TypeCode# of callsExplicitActionAmount
    BMIBMIANEYesIncrease By25%
    BMIBMIPROYesIncrease By25%
    BMIBMI2ANYesIncrease By25%
    REPTREPTYesReplace Base$90.73
    AGEL1Replace Base$173.31
    ROLEANEYesReplace Base$156.31
    ROLE2ANESYesReplace Base$22.25
    VANEL30ANIncrease By$109.28
    VANEL30AT2Increase By$109.28
    2ANU2ANU1For Each Call Pay Base At100%
    2ANU2ANU2 - 150For Each Call Increase By$22.25
    UGAUGAYesReplace Base$134.85
    SURCEVYesIncrease By$48.70
    SURCNTAMYesIncrease By$116.83
    SURCNTPMYesIncrease By$116.83
    SURCWKYesIncrease By$48.70
    LMTSL44ANEYesIncrease Base By$109.28
    LVPLVP75YesReduce Base To75%

    Governing Rules: