E650

PDF page 660 / Q2

CARDIOVASCULAR SURGICAL PROCEDURES
HEART AND PERICARDIUM
                                                                                                      Asst         Surg         Anae
         Note:
         Preliminary diagnostic catheterization - extra to operative fees (see Diagnostic and
         Therapeutic Procedures). The basic anaesthetic fee of 28 units or more for major
         cardiovascular surgery includes such procedures as insertion of C.V.P. line (G269), arterial line
         (G268), blood sampling, blood analysis and interpretations.
# R700 With hypothermia and without bypass - basic fee for
         cardiovascular procedures .................................................                                  -           25
         Note:
         R700 replaces procedural basic code when hypothermia is used where basic is less
         than 25 units.
# Z759 Removal of failed vascular graft without arterial reconstruction
         - when sole procedure........................................................                             189.55          6
# E655   - re-operation for failed vascular grafts - for repair or
           replacement of existing prosthesis (more than one month
           after original operation) .............................................. add                            348.70
    Pump bypass
# E650  - includes cannulating and decannulating heart or major
          vein, major artery, supervision of pump and pump run
           ................................................................................... add                 400.00         28
# E682  - graft of major vessel other than ascending aorta for the
          purpose of cardiopulmonary bypass or ventricular assist
          device, to E650, R701, R702, R703, R704 and Z743
           ................................................................................... add                 423.85
         Note:
         For the anaesthesiologist, when a pump (with or without an oxygenator and with or without
         Hypothermia) is used in conjunction with an anaesthetic for cardiovascular procedures, submit
         claim using E650C with 28 basic units plus time units, instead of the basic units for the
         cardiovascular procedure.

PDF page 668 / Q10

CARDIOVASCULAR SURGICAL PROCEDURES
VALVES
                                                                                                   Asst         Surg         Anae
# R724 Pulmonary valvotomy ..............................................................           18           727.00        28
# R725 Pulmonary valvotomy and infundibular resection ....................                          18           758.80        28
# R772 Pulmonary valve replacement .................................................                18           758.80        28
# R726 Tricuspid valvotomy .................................................................        18           853.25        20
# R727 Tricuspid annuloplasty .............................................................         18           678.80        20
# R731 Tricuspid valvuloplasty.............................................................         18           770.55        28
# R728 Tricuspid valve replacement ....................................................             18           777.40        28
# R729 Mitral valvotomy.......................................................................      18           717.25        20
# R730 Mitral valvotomy - restenosis ...................................................            18           798.80        20
# R734 Mitral annuloplasty...................................................................       18          837.00         20
# R735 Mitral replacement ...................................................................       18         1315.65         28
# R733 Mitral valvuloplasty ..................................................................      18          963.40         28
    Mitral valve reconstruction
# R773 - simple (includes annuloplasty) ............................................                18         1648.25         28
# R774 - complex (includes annuloplasty and repair of both the
           anterior and posterior leaflets).............................................            18         2058.20         28
# R930 Aortic valvoloplasty ..................................................................      18           837.70        28
# R736 Aortic valvotomy ......................................................................      18           776.05        20
# R737 Aortic infundibular resection (ventriculomyotomy) ...................                        18           913.20        28
# R732 Aortic valve replacement by open surgical approach ..............                            18         1548.25         28
# E647    - patch aortoplasty with pericardium or graft, to R732
            and/or aortic annuloplasty...........................................add    264.70
# E656    - aortic annuloplasty (reconstruction and enlargement of
            aortic annulus), to R732 and/or patch aortoplasty ......add                 288.85
# R739    - Aortic valve replacement by percutaneous approach.......                 18 949.20 28
      Payment rules:
      1.R739 includes all aspects of the service including vascular access, intraprocedural imaging
        guidance, ballon valvuloplasty as required, and valve deployment
         2.Intraoperative images obtained and/or interpreted in conjunction with R739 are not eligible
           for separate payment
         3.E650 is only eligible for payment with R739 when cardiopulmonary bypass is medically
           necessary due to hybrid procedures, intraoperative complications, or patient indication (as
           confirmed by operative documentation).
# R863 Replacement of aortic valve, replacement of ascending aorta,
         and reimplantation of coronary arteries (Modified Bentall)..                               18         2153.40         28
# R876 Valve sparing aortic root replacement or remodelling..............    18      2230.75     28
     Note:
     Multivalvular replacement - the fee will be that for the major valve replaced plus 85% of the fee
     for the additional valve or valves.

Master, record 1346. Record Layout PDF, page 1.

E65020260401999999990000400000000000000000000000000000000446880000004468800

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.