E739

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 716 / S34

INCISION
# Z563 Needle biopsy of peritoneum ..................................................                                52.40
# Z564 Open lavage of peritoneal cavity for diagnosis without manual
         exploration of peritoneal cavity...........................................                                 73.60          7
# S312 Laparotomy, with or without biopsy or for Hirschsprung’s
         disease (except biopsies of stomach, liver, pancreas and
         multiple para-aortic lymph nodes) ......................................                        6         485.25           7
# S324 Temporary abdominal closure with or without peritoneal
         washout ..............................................................................          6         376.25           7
         Note:
         1.S312 - use for division or removal of adhesions, if no other abdominal surgery performed -
           may not be claimed with other intra-abdominal procedures (except for IOP).
         2.S324 is only eligible for payment when rendered as a standalone procedure
         3.S324 is not eligible for payment:
            a.When definitive fascial closure is achieved at the same operative episode
            b.For superficial wound management or application of negative pressure therapy only
# E745         - insertion of tubes and post-operative continuous peritoneal
                 lavage when combined with any other abdominal
                 procedure................................................................... add                    94.85
    Laparotomy
# S321 - for acute trauma .................................................................              6         671.65           6
# E733   - with repair of intestine - single ................................... add                               162.90
# E734   - multiple and/or with resection .................................... add                                 241.55
# E735   - with splenectomy (partial or complete) ...................... add                             4         325.80
# E736   - with repair of lacerated liver ....................................... add                    4         214.95
# E739   - with repair of diaphragm ............................................ add                     4         139.60
# E723   - with repair of lacerated spleen ................................... add                       4         325.85
# E693   - with repair of ruptured bladder ................................... add                       4           -
# E694   - with nephrectomy....................................................... add                   4           -

Master, record 1434. Record Layout PDF, page 1.

E73920260401999999990000139600000000516400000000000000000000000000000000000

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.