Fee Navigator®

    Health Service Code 91.09B

    Closed reduction and pinning of distal radius metaphyseal fractures

    Category:14 Major Procedure (pre-operative period: 30 days, post-operative period: 14 days)
    Base rate:$267.46

    Fee modifiers:

    TypeCode# of callsExplicitActionAmount
    BMIBMIANEYesIncrease By25%
    BMIBMIANTYesIncrease By25%
    BMIBMIPROYesIncrease By25%
    ROLEANEYesReplace Base$185.82
    ROLEANESTYesReplace Base$18.55
    ROLESAYesReplace Base$148.05
    ROLESAQSYesReplace Base$50.97
    ANUANU1For Each Call Pay Base At100%
    ANUANU2 - 150For Each Call Increase By$18.55
    SAUSAU1For Each Call Pay Base At100%
    SAUSAU2 - 33For Each Call Increase By$37.04
    SAQUSAQU1 - 36For Each Call Pay Base At100%
    UNDPUNDPYesReduce Base To50%
    CMPDCMPDYesIncrease Base To150%
    SURCEVYesIncrease By$48.70
    SURCNTAMYesIncrease By$116.83
    SURCNTPMYesIncrease By$116.83
    SURCWKYesIncrease By$48.70
    LVPLVP50YesReduce Base To50%

    Governing Rules: