Fee Navigator®

    Health Service Code 92.78C

    Contrast arthrogram, unspecified site

    1. May not be claimed in addition to HSCs 16.89B, 16.89C or 16.89D.
    2. May be claimed in addition to HSC 95.94C.
    Category:M+ Designated Minor Procedure
    Base rate:$58.73

    Fee modifiers:

    TypeCode# of callsExplicitActionAmount
    UGAUGAYesReplace Base$134.85
    CALLNBRSER1For Each Call Pay Base At100%
    CALLNBRSER2 - 2For Each Call Pay Base At75%
    SURCEVYesIncrease By$48.82
    SURCNTAMYesIncrease By$117.12
    SURCNTPMYesIncrease By$117.12
    SURCWKYesIncrease By$48.82
    LMTSL40YesIncrease Base To150%
    LVPLVP75YesReduce Base To75%

    Governing Rules: