Fee Navigator®

    Health Service Code 84.21D

    Assisted delivery, forceps, vacuum with or without rotation, mid or lower cavity


    May be claimed at 100% in addition to delivery benefits regardless of who performs the delivery.

    Category:M Minor Procedure
    Base rate:$142.17

    Fee modifiers:

    TypeCode# of callsExplicitActionAmount
    BMIBMIANEYesIncrease By25%
    BMIBMIPROYesIncrease By25%
    ROLEANEYesReplace Base$62.18

    Governing Rules: