E110

PDF page 770 / Y4

GLAUCOMA FILTERING PROCEDURES
# E132 Glaucoma filtering procedures ab externo (e.g.
          trabeculectomy, trabeculotomy, deep sclerectomy,
          viscocanalostomy) .............................................................                  6         550.00          6
# E114 Plate and tube glaucoma drainage procedure........................                                  6         840.00          6
# E115 Minimally invasive glaucoma surgery or minimally invasive
          bleb surgery, ab interno or ab externo (e.g. Hydrus stent,
          iStent, Trabectome, Kahook dual blade, canaloplasty, XEN
          Gel Stent, PreserFlo MicroShunt) ......................................                          6         350.00          6
# E110   - with cataract extraction, all types of, by any procedure,
            includes extraction of native lens and insertion of artificial
            intraocular lens (same eye), to E132, E114, E115..... add                                                271.50
# E984   - following previous glaucoma filtering procedure, to E132,
            E114, E115................................................................ add                           137.50
         Payment rules:
         E132 is not eligible for payment for primary lensectomy or bleb repair.

Master, record 940. Record Layout PDF, page 1.

E11020260401999999990000271500000000000000000000000000000000000000000000000

Auxiliary master fields are preserved as raw scaled values. The linked layout calls them zero-filled, but this edition contains non-zero values. They are not presented as final dollar fees or PDF units.