E484

PDF page 603 / N23

Note:
         1.A shoulder procedure listed in the Shoulder section of the Schedule performed
           arthroscopically is eligible for payment in addition to R684 if that procedure is not described
           as a component of R684 or described by an E-add-on code to R684.
         2.Arthroscopic E-add-on codes listed below are not eligible for payment in addition to R684
           when the service described by the E-code is a generally accepted component of a procedure
           described in Note #1.
# E478 Pinning of osteochondral fragment, to R684 .................... add                                 251.55
      Note:
      F-prefix fracture procedures are not eligible for payment with E478 for the same fracture.
# E484 Superior labral anterior posterior (SLAP) repair,
           to R684......................................................................... add 336.65
# E485 Arthroscopic capsular release for frozen shoulder,
          to R684......................................................................... add             240.50
      Payment rules:
      E484 is not eligible for payment in addition to R401.

Master, record 1181. Record Layout PDF, page 1.

E48420250401999999990000336650000000000000000000000000000000000000000000000

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.