Fee Navigator®

    Health Service Code 43.96C

    Placement of self-expandable metal endotracheal or endobronchial stent

    NOTE:
    1. The anesthetic rate for 43.96C may not be claimed in addition to an anesthetic rate for any other service.
    2. Benefit includes bronchoscopy.
    Category:14 Major Procedure (pre-operative period: 30 days, post-operative period: 14 days)
    Base rate:$273.71

    Fee modifiers:

    TypeCode# of callsExplicitActionAmount
    BMIBMIANEYesIncrease By25%
    BMIBMIANTYesIncrease By25%
    BMIBMIPROYesIncrease By25%
    ROLEANEYesReplace Base$267.31
    ROLEANESTYesReplace Base$18.55
    ANUANU1For Each Call Pay Base At100%
    ANUANU2 - 150For Each Call Increase By$18.55
    SURCEVYesIncrease By$48.70
    SURCNTAMYesIncrease By$116.83
    SURCNTPMYesIncrease By$116.83
    SURCWKYesIncrease By$48.70
    LVPLVP75YesReduce Base To75%

    Governing Rules: