E152

PDF page 770 / Y4

OCULAR SURGICAL PROCEDURES
SCLERA, IRIS AND CILIARY BODY
                                                                                                        Asst         Surg          Anae
    SCLERA
# E127 Sclerotomy, posterior .............................................................                           166.45          4
      Payment rules:
      E127 is not eligible for payment with E152 or E153.

PDF page 774 / Y8

RETINA AND EXTRA OCULAR MUSCLES
                                                                                                             Asst      Surg         Anae
      RETINA
  # E151 Re-attachment of retina and choroid by diathermy,
           photocoagulation or cryopexy as an initial procedure ........                                      6        282.65          6
  # E152 Scleral resection or buckling procedure - with or without
           diathermy, photo-coagulation or cryopexy, primary or
           subsequent procedure........................................................                       6        700.00          7
  # E153 Revision for retinal detachment following unsuccessful
           operation or fresh detachment in the same eye with or
           without diathermy, photocoagulation or cryopexy...............                                     6        840.00          7
  # E161 Removal of scleral implant......................................................                              250.00          6
  # E154 Photocoagulation (xenon, argon laser, etc.) - one eye ...........                                             182.75          6
  # E125 Laser retinopexy for Retinopathy of Prematurity or
           retinoblastoma – one eye ...................................................                                750.00          6
  # E126 Laser retinopexy for Retinopathy of Prematurity or
           retinoblastoma – both eyes ................................................                                1245.00          6
  # E155 Cryopexy - extraocular or sub-conjunctival - one eye.............                205.00 6
  # E112 Pneumatic Retinopexy............................................................ 160.00 6
        Payment rules:
        1.E148, E142, E149, E186, E187, E175 and Z851 are not eligible for payment with E112 on
          the same day.
                                          2.A maximum of one E112 is eligible for payment per eye per day.

Master, record 978. Record Layout PDF, page 1.

E15220260401999999990000700000000000774600000000000000000111720000001117200

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.