| Category: | M+ Designated Minor Procedure |
|---|---|
| Base rate: | $376.23 |
| Type | Code | # of calls | Explicit | Action | Amount |
|---|---|---|---|---|---|
| BMI | BMIANE | Yes | Increase By | 25% | |
| BMI | BMIANT | Yes | Increase By | 25% | |
| BMI | BMIPRO | Yes | Increase By | 25% | |
| ROLE | ANE | Yes | Replace Base | $148.65 | |
| ROLE | ANEST | Yes | Replace Base | $18.55 | |
| ANU | ANU | 1 | For Each Call Pay Base At | 100% | |
| ANU | ANU | 2 - 150 | For Each Call Increase By | $18.55 | |
| CALL | NBRSER | 1 | For Each Call Pay Base At | 100% | |
| CALL | NBRSER | 2 - 2 | For Each Call Pay Base At | 100% | |
| LVP | LVP75 | Yes | Reduce Base To | 75% |
If a procedure designated "+" is performed in a physician's office, both the procedural benefit and the appropriate office visit benefit for that day may be claimed, but if a consultation benefit pursuant to GR 6.6.4 has been claimed, a visit benefit will not be payable for the day on which the procedure is performed.
If a procedure designated "+" is performed in a place other than a physician's office, either a procedural benefit or a visit benefit, but not both, may be claimed for that day.
If a procedure designated "+" and a consultation are provided on the same day, both the procedural benefit and the appropriate consultation benefit are payable.
If a minor procedure (M or M+) is provided with a hospital visit on the same day, only the greater benefit HSC may be claimed.
