Fee Navigator

    Health Service Code 82.64B

    Other vaginal vault suspension, sacrospinous, ileo-coccygeal

    NOTE:
    1. When performed as a second or subsequent procedure through the same incsision, the procedural rate should be claimed at 50% using modifier LVP50. Anesthetic claims using ANE for second and subsequent procedures should use the LVP75 modifier.
    2. An additional benefit of 100% may be claimed for a repeat by using modifier REPT.
    Category:14 Major Procedure (pre-operative period: 30 days, post-operative period: 14 days)
    Base rate:$447.34

    Fee modifiers:

    TypeCode# of callsExplicitActionAmount
    BMIBMIANEYesIncrease By25%
    BMIBMIANTYesIncrease By25%
    BMIBMIPROYesIncrease By25%
    REPTREPTYesIncrease Base To200%
    ROLEANEYesReplace Base$327.91
    ROLEANESTYesReplace Base$18.39
    ROLESAYesReplace Base$148.05
    ROLESAQSYesReplace Base$50.97
    ROLESSSTYesReplace Base$280.58
    ANUANU1For Each Call Pay Base At100%
    ANUANU2 - 150For Each Call Increase By$18.39
    SAUSAU1For Each Call Pay Base At100%
    SAUSAU2 - 33For Each Call Increase By$37.04
    SAQUSAQU1 - 36For Each Call Pay Base At100%
    SURCEVYesIncrease By$48.70
    SURCNTAMYesIncrease By$116.83
    SURCNTPMYesIncrease By$116.83
    SURCWKYesIncrease By$48.70
    INCSDIFFYesIncrease Base By
    LVPLVP50YesReduce Base To50%
    LVPLVP75YesReduce Base To75%

    Governing Rules: