E516

Endocarditis complexity premium, to procedural fee(s)

Fee

ComponentValue
Fee basis25%
Source listing ; PDF p. 65925%
Schedule and sources
Fee edition
October 1, 2026
Record effective
2026-04-01
Schedule edition
July 22, 2026; effective July 1, 2026
Official files

PDF page 659 / Q1

- Endocarditis complexity premium, to procedural fee(s) ........................................................................... add 25%
Passages mentioning E516

PDF page 659 / Q1

CARDIOVASCULAR SURGICAL PROCEDURES
      PREAMBLE
                  1. Unless otherwise stated, excision or repair procedures for arteries and veins include
                     endartectomy, thrombectomy and/or bypass graft.
                  2. Excision or repair procedures for arteries and veins include harvest of graft tissue, except where
                     harvest of graft tissue is explicitly excluded from the procedure. Where harvest of graft tissue is
                     included as a specific element of the procedure, the harvest is an insured service payable at nil.
                  3. E516 is eligible for payment once per physician per surgical event when any of the following
                     cardiovascular surgical procedures is complicated by active infective endocarditis (IE):

PDF page 659 / Q1

E516 is not eligible for payment if IE is incidental, resolved, or does not complicate the
                                      procedure.
Fee master record

Master, record 1213. Record Layout PDF, page 1.

E51620260401999999990000000010000000000000000000000000000000000000000000000

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.

FieldRaw / scale 10,000
provider00000000100 / 0.01
assistant00000000000 / 0
specialist00000000000 / 0
anaesthetist00000000000 / 0
non anaesthetist00000000000 / 0
Explanation

AI-generated. Unreviewed.

Premium added to procedural fees for endocarditis complexity. It is listed under cardiovascular surgical procedures.

Watch out for

Not eligible for payment if IE is incidental, resolved, or does not complicate the procedure.

Sources and updates
Fee master effective October 1, 2026Schedule effective July 1, 2026Source versions and changes
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