Fee Navigator®

    Health Service Code 51.59B

    Percutaneous transluminal angioplasty, excluding coronary vessels

    1. May not be claimed in addition to HSCs 50.91D or 50.91E.
    2. A single call applies regardless of the number of angioplasties provided in the same vessel.
    3. Multiple calls may only be claimed when multiple vessels are treated.
    Category:M Minor Procedure
    Base rate:$548.68

    Fee modifiers:

    TypeCode# of callsExplicitActionAmount
    BMIBMIANEYesIncrease By25%
    BMIBMIANTYesIncrease By25%
    BMIBMIPROYesIncrease By25%
    ROLEANEYesReplace Base$152.69
    ROLEANESTYesReplace Base$18.70
    ANUANU1For Each Call Pay Base At100%
    ANUANU2 - 150For Each Call Increase By$18.70
    CALLNBRSER1For Each Call Pay Base At100%
    CALLNBRSER2 - 2For Each Call Pay Base At75%
    CALLNBRSER3 - 4For Each Call Pay Base At50%
    SURCEVYesIncrease By$48.82
    SURCNTAMYesIncrease By$117.12
    SURCNTPMYesIncrease By$117.12
    SURCWKYesIncrease By$48.82
    LVPLVP75YesReduce Base To75%

    Governing Rules: