Fee Navigator®

    Health Service Code 54.92E

    Dilation by sound or bougie, or esophageal balloon, additional benefit

    NOTE:

    May only be claimed in addition to HSC 01.14.

    Category:M Minor Procedure
    Base rate:$102.59

    Fee modifiers:

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

    Governing Rules: