E304

PDF page 781 / Y15

REPAIR
    Congenital defects
      External
# E307 - minor ..................................................................................     6     219.60    6
# E308 - major ..................................................................................     6     345.15    7
# E310 Otoplasty for correction of outstanding ears - unilateral .........                            6     247.35    7
# E304 Reconstruction of total ear with cartilage graft (e.g. Brent
          Technique), first stage ........................................................ 6 619.35 6
      Note:
      1.E304, E307, E308 - Descriptive details of procedure (e.g. operative report) should be
        submitted with claims for professional assessment (see Surgical Preamble, paragraph 17).
      2.E310 - for patients 18 years of age or older, please see Appendix D, Sub-Surface Pathology.
# E314 Meatoplasty or canalplasty for congenital malformation.........                    6 297.25 7
# E955    - with grafting of canal .................................................. add   202.35
# E956    - with tympanoplasty and/or ossiculoplasty, and/or
            mastoidectomy........................................................... add    399.90 2

Master, record 1062. Record Layout PDF, page 1.

E30420260401999999990000619350000000774600000000000000000095760000000957600

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.