Fee Navigator

    Health Service Code 92.78C

    Contrast arthrogram, unspecified site

    NOTE:
    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:$58.58

    Fee modifiers:

    TypeCode# of callsExplicitActionAmount
    UGAUGAYesReplace Base$134.85
    CALLNBRSER1For Each Call Pay Base At100%
    CALLNBRSER2 - 2For Each Call Pay Base At75%
    SURCEVYesIncrease By$48.70
    SURCNTAMYesIncrease By$116.83
    SURCNTPMYesIncrease By$116.83
    SURCWKYesIncrease By$48.70
    LMTSL40YesIncrease Base To150%
    LVPLVP75YesReduce Base To75%

    Governing Rules: