CODE A MOP Rule A The high fee item of which MOP Rule A is applied. CODE B MOP Rule B The secondary fee item of which MOP Rule B is applied. CODE C MOP Rule C The lower fee item of which MOP Rule C is applied. The fees for two or more operations, listed in Group T8 (other than Subgroup 12 of that Group), performed on a patient on the one occasion (except as provided in paragraph T8.2.3) are calculated by the following rule: - 100% for the item with the greatest Schedule fee
- plus 50% for the item with the next greatest Schedule fee
- plus 25% for each other item.
See note T.8.2 of the Medicare Benefits Schedule for further information. |