F095

PDF page 583 / N3

FIXATION
# E547    - methyl methacrylate (not arthroplasty)....................... add                   59.40
# E555    - rigid external fixation (excluding casts) for closed
            reduction, to closed reduction fee ...................... add 50%
# E544    - cast bracing with closed reduction, to closed reduction fee
            ........................................................................... add 40%
# E569    - percutaneous pinning, to closed reduction fee .. add 50%
# E826    - percutaneous pinning, to F005, F006, F009, or F016
            ........................................................................... add 75%
      Payment rules:
      1.E544 is not eligible for payment when a prefabricated cast, brace or splint is used.
      2.E555 is not eligible for payment with F095, F104, F134 or any fee code that includes traction.
      3.E569 is not eligible for payment for percutaneous fixation of sacral fractures or dislocations.
      4.E569 is not eligible for payment with E826.
# E590    - rigid external fixation - pseudoarthrosis ..................... add        76.10
    Removal of internal fixation device more than 30 days after insertion
# R267 - general anaesthetic ............................................................   6           201.00    6
# R268 - local anaesthetic................................................................. 6            54.85    6
# R598 Removal of extensive external fixation device under general
         anaesthetic .........................................................................           48.25    6
    Adjustment of circumferential external fixation
# Z280 - without general anaesthetic................................................                     72.35
# Z281 - with general anaesthetic.....................................................                  145.70    6
# Z210       - Insertion traction pin - excludes fractures and dislocations                              33.35
     WOUND CARE
   E550  - insertion of closed irrigation system during a surgical
           procedure for post-operative management................ add                                   63.15

PDF page 623 / N43

MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES
 FEMUR
                                                                                                     Asst    Surg     Anae
# F095 Closed reduction of femoral fracture including one of:
        - application of external fixation, or
        - skeletal traction, or
        - closed reduction with application of unilateral or bilateral hip
          spica cast in infant or child                                                               6      407.35    6
      Open reduction
# F096 Femur .....................................................................................    6      774.05    8
# F093 Diaphyseal or metaphyseal distal femur fracture with intra-
         articular extension – with or without intramedullary fixation                                6     1285.00    8
         Payment rules:
         1.F096 includes intramedullary nail with proximal and distal locking screws if performed.
         2.F093 is not eligible for payment for repair of an isolated distal femoral osteochondral fracture.
         3.F021 and F096 are not eligible for payment with F093 for treatment of fractures below the
           intertrochanteric region on the same femur.
         4.E555 is not eligible for payment with F094 or F095.
         5.Z207 and Z209 are not eligible for payment with F095.

Master, record 1760. Record Layout PDF, page 1.

F09520260401999999990000407350000000774600000000000000000095760000000957600

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.