Forum - Questions & Answers
rvu
we are paid on rvu system...if someone is doing a bilateral procedure is it standard to pay the rvu full amount for the CPT® (procedure) for each side or is it standard to pay 1/2 rvu for 2nd side...i understand that the organization gets paid less for second side but it gets a significant total amount for overhead etc,,,if anyone could comment on this topic that would be great,,,,thanks james
re: rvu
does anyone have any comments to the question above??
re: rvu
Bilateral procedures, unless the code descriptor includes bilateral, are generally paid full allowed for 1 side, 1/2 for opposite side. If this is a private payer, you will need to review the contract to determine the payment agreement. If not in contract, contact payer for clarification.