E830

PDF page 614 / N34

Bicoronal flaps
  R347 Bicoronal flaps ........................................................................ 200.00
     Note:
     R347 requires elevation of bicoronal flaps with exposure of the upper half facial skeleton and
     subsequent closure and re-suspension of soft tissues.
      REDUCTION
    Fractures
      Orbit - open reduction rim/wall fracture
# E173 Zygomatic fracture dislocation ................................................            6         594.70          7
# E933     - with mini-plate(s)**, per major fracture line ................ add                              99.85
# E934     - with primary bone graft (separate site) ...................... add                             204.80
      Orbit
# E174 - blowout fracture of floor......................................................          6         767.70          7
# E934     - with primary bone graft (separate site) ...................... add                             204.80
      Nasal bones - to include manipulation of nasal septum
# F136 - closed reduction .................................................................                 102.35           6
# F137 - open reduction....................................................................                 316.35          10
# E825   - with mini-plate(s)**, per major fracture line ................ add                                63.95
      Orbit with maxilla
# F150 - closed reduction and dental wiring .....................................        256.40 7
# F142 - with wiring and local fixation............................................... 6 685.20 7
# E830     - with mini-plate(s)**, per major fracture line ................ add          107.20
# E932     - primary bone graft reconstruction (separate site) in
             addition to local repair, unilateral ............................... add    205.00
# E935     - primary bone graft reconstruction (separate site) in
             addition to local repair, bilateral ................................. add   307.70
      Note:
      E932, E934, and E935 are not to be billed with Z263, Z264, Z265, Z266, E975, or E976.
        Midface fractures

PDF page 615 / N35

MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES
 SKULL AND MANDIBLE
                                                                                                 Asst  Surg     Anae
      Application of craniofacial suspension wires and external fixation devices (not to be billed in
      addition to maxillary repair).
# F143 - middle ¼ facial ...................................................................      6    577.65     8
# E830      - with mini-plate(s)**, per major fracture line ................ add                       107.20
# F144 - cranial-facial separation .....................................................          6   1594.90    10
# E830      - with mini-plate(s)**, per major fracture line ................ add                       107.20
      Note:
      ** Where mini-plate(s) are used, one mini-plate fee per each major fracture line (e.g.
      infraorbital, malar-zygomatic, nasal-frontal, LeFort I, LeFort II and III) (per major fracture line
      per side) should be billed.
      Mandible
  UVC     - no reduction........................................................................      visit fee
# F138 - closed reduction, includes maxillary-mandibular fixation ...                             6    350.00     7
         Note:
         Maxillary-mandibular fixation includes any external fixation technique.
# F139   - open reduction, per fracture, to include intermaxillary
           fixation ................................................................................ 6 761.50 6
# E828     - rigid internal fixation, any method, to F139 ................ add                         193.50
      Note:
      Rigid internal fixation may include the use of a mini-plate(s), or other internal fixation device(s).

Master, record 1525. Record Layout PDF, page 1.

E83020250401999999990000107200000000000000000000000000000000000000000000000

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.