F104

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 637 / N57

Fractures
      Ankle
# F074 - no reduction - rigid immobilization ......................................                           67.75
# F075 - closed reduction .................................................................            6     144.80    6
      - open reduction
# F076 - one malleolus .....................................................................           6     466.70    7
# F077 - multiple malleoli or ligaments .............................................                  6     746.10    7
      Ankle fracture with tibial Plafond burst
# F104 - closed reduction and external fixation ................................            6 363.40 6
# F108 - open reduction.................................................................... 6 954.35 6
      Payment rules:
      1.F108 is only eligible for payment for AO/OTA ankle plafond fractures classified as partial
        articular (43-B) or complete articular (43-C).
         2.F108 includes repair of medial or lateral or syndesmotic ligaments of the same ankle if
           performed.
         3.F108 is not eligible for payment with, F076, F077, R185 and/or R744 for repair/
           reconstruction of the same ankle.
         4.F104 is not eligible for payment for closed reduction of an ankle tibial plafond burst fracture
           without external fixation.
         5.E555 is not eligible for payment with F104.
      Metatarsus
  F061 - one or more ........................................................................                 49.20
  F062 - with rigid immobilization .....................................................                      67.75
      - closed reduction
  F063 - one or more ........................................................................          6      98.35    6
      - open reduction
# F064 - one .....................................................................................     6     358.05    7

Master, record 1769. Record Layout PDF, page 1.

F10420260401999999990000363400000000774600000000000000000095760000000957600

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.