E517

PDF page 575 / M25

Mastectomy - female (with or without biopsy)
  # R108 - simple ................................................................................. 6 330.00                     7
    E517    - with immediate postmastectomy superficial chest wall
              reconstruction, to R108...................................... add 30%
  # R117 - skin sparing mastectomy performed with immediate breast
            reconstruction for malignancy or prophylaxis in high-risk
            female patients ...................................................................     6 495.00                     7
    E486    - with nipple sparing, to R117............................... add 30%
  # E505    - with limited axillary node sampling, to R108 or R117 add                                178.05
        Payment rules:
        1.E517 is only eligible for payment when the surgeon has performed and documented:

Master, record 1214. Record Layout PDF, page 1.

E51720260401999999990000000010000000000000000000000000000000000000000000000

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.