Fee Navigator

    Health Service Code 16.89A

    Injection for discogram

    NOTE:

    May not be claimed in addition to an operative procedure.

    Additional notes:
    • Listed under 16 - OPERATIONS ON SPINAL CORD AND SPINAL CANAL STRUCTURES:

      The listed benefits are payable irrespective of the number of vertebrae involved if one incision utilized, unless otherwise stated.

    Category:M+ Designated Minor Procedure
    Base rate:$95.96

    Fee modifiers:

    TypeCode# of callsExplicitActionAmount
    CALLNBRSER1For Each Call Pay Base At100%
    CALLNBRSER2 - 3For Each Call Pay Base At75%
    SURCEVYesIncrease By$48.70
    SURCNTAMYesIncrease By$116.83
    SURCNTPMYesIncrease By$116.83
    SURCWKYesIncrease By$48.70
    LVPLVP75YesReduce Base To75%

    Governing Rules: