E177

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 1003. Record Layout PDF, page 1.

E17720260401999999990000321600000000000000000000000000000095760000000957600

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.