Fee Navigator

    Health Service Code 89.59G

    Open biopsy bone tumor, first full 30 minutes or major portion thereof for the first call when only one call is claimed

    NOTE:
    1. May not be claimed with other procedures.
    2. Each subsequent 15 minutes, or major portion thereof, is payable at the rate specified on the Price List after the first full 30 minutes has elapsed.
    Category:14 Major Procedure (pre-operative period: 30 days, post-operative period: 14 days)
    Base rate:$197.78

    Fee modifiers:

    TypeCode# of callsExplicitActionAmount
    BMIBMIANEYesIncrease By25%
    BMIBMIANTYesIncrease By25%
    BMIBMIPROYesIncrease By25%
    ROLEANEYesReplace Base$110.53
    ROLEANESTYesReplace Base$18.39
    ROLESAYesReplace Base$148.05
    ROLESAQSYesReplace Base$50.97
    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%
    CALLM30M151For Each Call Pay Base At100%
    CALLM30M152 - 14For Each Call Increase By$98.91
    SURCEVYesIncrease By$48.70
    SURCNTAMYesIncrease By$116.83
    SURCNTPMYesIncrease By$116.83
    SURCWKYesIncrease By$48.70

    Governing Rules: