Fee Navigator®

    Health Service Code 54.21E

    With esophageal polypectomy(s)

    NOTE:

    May only be claimed in addition to 01.14.

    Category:1 Major Procedure (pre-operative period: 0 days, post-operative period: 14 days)
    Base rate:$61.86

    Fee modifiers:

    TypeCode# of callsExplicitActionAmount
    BMIBMIANEYesIncrease By25%
    BMIBMIPROYesIncrease By25%
    ROLEANEYesReplace Base$111.15
    VANEADDAReplace$111.15
    LVPADDYesReplace Base100%

    Governing Rules: