E174

PDF page 614 / N34

Bicoronal flaps
  R347 Bicoronal flaps ........................................................................ 200.00
     Note:
     R347 requires elevation of bicoronal flaps with exposure of the upper half facial skeleton and
     subsequent closure and re-suspension of soft tissues.
      REDUCTION
    Fractures
      Orbit - open reduction rim/wall fracture
# E173 Zygomatic fracture dislocation ................................................            6         594.70          7
# E933     - with mini-plate(s)**, per major fracture line ................ add                              99.85
# E934     - with primary bone graft (separate site) ...................... add                             204.80
      Orbit
# E174 - blowout fracture of floor......................................................          6         767.70          7
# E934     - with primary bone graft (separate site) ...................... add                             204.80
      Nasal bones - to include manipulation of nasal septum
# F136 - closed reduction .................................................................                 102.35           6
# F137 - open reduction....................................................................                 316.35          10
# E825   - with mini-plate(s)**, per major fracture line ................ add                                63.95
      Orbit with maxilla
# F150 - closed reduction and dental wiring .....................................        256.40 7
# F142 - with wiring and local fixation............................................... 6 685.20 7
# E830     - with mini-plate(s)**, per major fracture line ................ add          107.20
# E932     - primary bone graft reconstruction (separate site) in
             addition to local repair, unilateral ............................... add    205.00
# E935     - primary bone graft reconstruction (separate site) in
             addition to local repair, bilateral ................................. add   307.70
      Note:
      E932, E934, and E935 are not to be billed with Z263, Z264, Z265, Z266, E975, or E976.
        Midface fractures

PDF page 775 / Y9

RECONSTRUCTION
    Dermis fat graft
# E160 - immediately following enucleation ......................................                         190.30
# E163 - delayed...............................................................................    6      514.80    7
# E176 Fornix reconstruction ..............................................................               325.00    7
# E177 - with mucous membrane graft .............................................                         321.60    6
# E937   - with autogenous conjunctival transplant .................... add                               191.05
    Free mucous membrane graft
# E178 - full thickness.......................................................................            222.65    7
# E179 - split thickness .....................................................................            296.90    6
# E180 Alloplastic volume replacement .............................................. 411.20                         7
      Note:
      Repair - for E173 and E174 see Skull and Mandible - Musculoskeletal System.

Master, record 1000. Record Layout PDF, page 1.

E17420260401999999990000767700000000774600000000000000000111720000001117200

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.