E674

PDF page 693 / S11

Gastroscopy
  # Z527 - may include biopsies, photography and removal of polyps
           less than or equal to 1 cm ..................................................                                    82.90       4
  # Z547 - with removal of foreign body ..............................................                                      99.75       4
  # Z528                                      - subsequent (within three months following previous
                                                 gastroscopy) ...................................................................... 67.85 4
                                          Note:
                                          Z292 rendered in association with gastroscopy services is not eligible for payment unless the
                                          laryngoscopy service is rendered for suspicion of disease of the larynx. Claims for Z292 in
                                          these circumstances are assessed by a medical consultant on a manual review basis and
                                          require the submission of a written explanation.
                                          [Commentary:
                                          Manual review is not required for Z293, Z322 and Z323 rendered in association with
                                          gastroscopy services.]
  # E674    - with snare polypectomy - 1st polyp > 1 cm (maximum 1)
              ................................................................................... add                      142.40
  # E675    - with snare polypectomy each - additional polyp > 1 cm
              (maximum 2) .............................................................. add                                73.50
        Note:
        E674, E675 are payable with Z527, Z547 or Z528.

Master, record 1370. Record Layout PDF, page 1.

E67420250401999999990000142400000000000000000000000000000000000000000000000

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.