G103

PDF page 511 / J97

DIAGNOSTIC AND THERAPEUTIC PROCEDURES
 OTOLARYNGOLOGY
                                                                                               Fee
# G103 Debridement of maxillectomy cavity .......................................               6.05
+ G420 Ear syringing and/or extensive curetting or debridement
         unilateral or bilateral ........................................................... 13.15
     Note:
     1.G420 is not eligible for payment when rendered in addition to Z906, Z907, Z908 or Z913.
     2.G420 is only insured when:
        a.there is impacted ear wax resulting in hearing loss that is unresponsive to topical
          application of cerumenolytics; or
        b.immediate removal of ear wax is medically necessary to visualize the tympanic
          membrane or the external ear canal for diagnostic and/or therapeutic purposes.
+ G403 Particle repositioning maneuvre for benign paroxysmal
         positional vertigo ................................................................   21.70

Master, record 1859. Record Layout PDF, page 1.

G10320250401999999990000006050000000000000000000000000000000000000000000000

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.