D014

PDF page 607 / N27

MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES
 SHOULDER, ARM AND CHEST
                                                                                                        Asst   Surg     Anae
    Dislocations
     Acromio-clavicular/sterno-clavicular
# D014 - no reduction........................................................................                   67.80
# D025 - closed with anaesthetic ......................................................                  6     134.55    6
# D023 - open reduction....................................................................              6     326.40    7
# R596 - late......................................................................................      6     350.50    6
     Glenohumeral joint
# D015 - closed reduction without anaesthetic .................................                                 49.20
# D016 - closed reduction with anaesthetic ......................................                              111.40    6
# D017        - open reduction, early..........................................................          6     323.85     6
# R472        - open reduction, late............................................................         6     580.90    10
# R401        - open reduction, recurrent ...................................................            6     524.55    10
# E062        - coracoid transfer (Latarjet) or bone block graft to glenoid, to
                R401............................................................................. add          350.00
# E058          - revision/repair following previous glenohumeral joint
                  surgery, to R401................................................. add 30%
         Payment rules:
         1.E551A, E552A, E553A are not eligible for payment with E062.
         2.R472 is not eligible for payment for open reduction and repair of recurrent glenohumeral
           instability.

Master, record 837. Record Layout PDF, page 1.

D01420260401999999990000067800000000000000000000000000000000000000000000000

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