Fee Navigator

    Health Service Code 68.95

    Ureteroscopy

    NOTE:
    1. Includes cystoscopy.
    2. Only one call may be claimed whether unilateral or bilateral.
    Category:3 Major Procedure (pre-operative period: 7 days, post-operative period: 7 days)
    Base rate:$256.68

    Fee modifiers:

    TypeCode# of callsExplicitActionAmount
    BMIBMIANEYesIncrease By25%
    BMIBMIANTYesIncrease By25%
    BMIBMIPROYesIncrease By25%
    ROLEANEYesReplace Base$165.79
    ROLEANESTYesReplace Base$18.39
    ANUANU1For Each Call Pay Base At100%
    ANUANU2 - 150For Each Call Increase By$18.39
    SURCEVYesIncrease By$48.70
    SURCNTAMYesIncrease By$116.83
    SURCNTPMYesIncrease By$116.83
    SURCWKYesIncrease By$48.70
    LVPLVP75YesReduce Base To75%

    Governing Rules: