E627

PDF page 548 / SP6

SURGICAL PREAMBLE
PREAMBLE
 24. Morbidly obese patients
     E676 is eligible for payment once per patient per physician in addition to the amount eligible for
     payment for the major surgical procedure(s) where a morbidly obese patient undergoes major
     surgery to the neck, thorax, peritoneal cavity, retroperitoneum, pelvis, or hip and:
    a. the patient has a Body Mass Index (BMI) greater than 40
    b. the surgery is rendered under general anaesthesia using either an open technique for the
       neck, thorax, or hip, or an open or laparoscopic technique for the peritoneal cavity, pelvis,
       retroperitoneum; and
    c. the principal surgical technique is neither aspiration, core or fine needle biopsy, dilation,
       endoscopy, mediastinoscopy, thoracoscopy, cautery, ablation nor catheterization.
E676A Morbidly obese patient, surgeon, to procedural fee(s)...... add                      25%
E676B Morbidly obese patient, surgical assistant, to major procedure
        add                                                                               6 units
     Note:
     E676A/B is only payable with the following procedures: D043, D046, D047, D052, E090, E499,
     E500, E505, E546, E589, E593, E626, E627, E655, E664, E673, E686, E697, E704, E706,
     E707, E708, E709, E711, E712, E713, E714, E718, E721, E722, E725, E728, E729, E731,
     E733, E734, E735, E736, E737, E738, E739, E743, E745, E748, E752, E754, E762, E764,
     E765, E766, E767, E768, E769, E771, E794, E796, E852, E853, E854, E855, E857, E860,
     E880, E882, E883, E884, E885, F100, F101, F135, M081, M082, M084, M090, M099, M100,
     M142, M143, M144, P018, P041, P042, P050, P055, P056, P057, P058, P059, P060, R108,
     R109, R216, R241, R269, R330, R423, R439, R440, R443, R470, R481, R488, R491, R553,
     R569, R590, R627, R628, R639, R686, R786, R800, R802, R803, R805, R806, R807, R811,
     R814, R815, R817, R823, R825, R826, R834, R839, R852, R855, R856, R858, R860, R861,
     R910, R885, R905, R913, R914, R915, R932, R933, R934, R935, R936, R937, S089, S090,
     S114, S115, S116, S117, S118, S120, S121, S122, S123, S124, S125, S128, S129, S131,
     S132, S133, S134, S137, S138, S139, S140, S149, S150, S154, S157, S158, S159, S160,
     S162, S164, S165, S166, S167, S168, S169, S170, S171, S172, S173, S175, S176, S177,
     S180, S182, S183, S184, S185, S187, S188, S189, S191, S192, S193, S194, S195, S196,
     S197, S199, S204, S207, S213, S214, S215, S217, S218, S222, S227, S265, S266, S267,
     S269, S270, S271, S274, S275, S276, S278, S280, S281, S282, S285, S287, S291, S292,
     S294, S295, S297, S298, S299, S300, S301, S302, S303, S304, S305, S306, S307, S308,
     S309, S310, S311, S312, S313, S314, S315, S318, S319, S321, S323, S325, S329, S332,
     S340, S342, S343, S344, S345, S405, S411, S416, S420, S422, S424, S427, S431, S432,
     S433, S434, S435, S436, S438, S440, S441, S445, S446, S447, S448, S449, S450, S451,
     S452, S453, S454, S455, S457, S460, S461, S462, S465, S466, S467, S468, S471, S482,
     S483, S488, S490, S491, S512, S513, S546, S549, S561, S590, S650, S651, S652, S710,
     S714, S727, S728, S729, S731, S733, S735, S736, S738, S739, S740, S741, S743, S745,
     S747, S748, S750, S751, S757, S758, S759, S760, S761, S763, S764, S766, S775, S776,
     S778, S780, S781, S782, S784, S788, S789, S790, S792, S793, S795, S798, S799, S800,
     S813, Z427, Z526, Z552, Z553, Z564, Z569, Z577, Z594, Z737, Z738

PDF page 671 / Q13

CARDIOVASCULAR SURGICAL PROCEDURES
 ARTERIES
                                                                                                    Asst   Surg      Anae
# R875 Endovascular aneurysm repair using stent grafting ................                           10     1563.05    17
     Two Surgeon
# R888 - Endovascular aneurysm repair using stent grafting – first
         surgeon ...............................................................................    10     1172.30    17
# R889 - Endovascular aneurysm repair using stent grafting – second
         surgeon ...............................................................................     nil   1172.30    nil
# E627    - ruptured aneurysm, to R875 or R888 .........................add                          619.25
# E510    - for branched or fenestrated devices, to R875 or R888
             ....................................................................................add 926.85
# E509    - conduit to aorta or common iliac artery, to R875 or R888
             ....................................................................................add 805.65
      Note:
      1.These services include insertion of all catheters including access catheters, interpretation of
        any images which may be taken at the time of the procedures.
         2.E510 is not eligible for payment for branched or fenestrated devices to the common iliac
           artery(s).
         3.E510 is not eligible for payment with E627.
         [Commentary:
         1.Endovascular repair for abdominal aortic aneurysms is only recommended for patients who
           are at high-risk of perioperative morbidity or death from open surgical repair.
         2.For open repair of abdominal aorta aneurysms, see page Q14.]
    Abdominal surgical exposure
# R880 - supraceliac aortic cross clamp ............................................                         -        20
# R881 - infraceliac aortic cross clamp ..............................................                       -        17
# R882 Thoracic surgical exposure......................................................                      -        25
# R883 Thoraco-abdominal surgical exposure ....................................                              -        30
# R815 Arterioplasty with or without patch graft including microvascular
          anastomosis, arterial or venous (other than listed below) ...                             10      581.85    10
    Carotid
# R792 - endarterectomy, with or without bypass graft ......................                        10      982.95    10
# E665    - with patch graft, to R792 .............................................add                      419.00
      Note:
      R815 is not eligible for payment with R792.
# R796        - carotid - carotid body tumor / aneurysm repair....................                  10      950.80    10
    Aortic arch reconstruction
# R830 - innominate...........................................................................      10      910.70    10
# R831 - subclavian ...........................................................................     10      910.70    10
# R832 - vertebral ..............................................................................   10      867.35    10
# E659    - with thoracotomy.........................................................add            6       169.00
# E667    - ruptured ......................................................................add              266.60

Master, record 1323. Record Layout PDF, page 1.

E62720260401999999990000619250000000000000000000000000000000000000000000000

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.