G268

PDF page 118 / GP104

GENERAL PREAMBLE
OTHER PREMIUMS
    Non-elective Surgical Procedures (including fractures or dislocations), Obstetrical Deliveries,
    Clinical Procedures Associated with Diagnostic Radiological Examinations, Ground Ambulance
    Transfer (K101), Air Ambulance Transfer (K111), Transport of Donor Organs (K102), Return
    Trip (K112), or one of the following Major Invasive Procedures:
    G060, G061, G062, G065, G066, G067, G068, G082, G083, G085, G090, G099, G117, G118,
    G119, G125, G176, G177, G178, G179, G211, G224, G246, G248, G249, G260, G261, G262,
    G263, G268, G269, G275, G277, G279, G280, G282, G287, G288, G290, G297, G298, G303,
    G309, G322, G323, G324, G330, G331, G336, G347, G348, G349, G356, G376, G379, G380,
    G509, J001 to J068, and X112 when required for intussusception

PDF page 421 / J7

Vascular cannulation
  Z459 Arterial puncture ...................................................................... 10.20
# G268 Cannulation of artery for pressure measurements including cut
          down as necessary..............................................................       31.25
      Note:
      G268 is not eligible for payment with G249, G259, G261, G176, G177, G178, G288,
      Z443 or Z440.
# G269 Cannulation of central vein for pressure measurements or for
         feeding line - not to be billed with right heart catheterization
         (Z439) or with Swan-Ganz catheter insertion......................                           31.25
# G270 Intraosseous infusion...............................................................          23.90
# G309 Umbilical artery catheterization (including obtaining of blood
          sample)................................................................................    45.55
    Venipuncture
+ G480 - infant....................................................................................  9.90
+ G482 - child ..................................................................................... 7.35
+ G489 - adolescent or adult ..............................................................          3.54
     Note:
     G489 is not insured when rendered for the monitoring of adverse effects resulting from a calorie
     restricted weight loss program.
+ G483 Therapeutic venisection...........................................................             9.70
  G282 Umbilical vein catheterization (including obtaining of blood
          sample)................................................................................    43.60
# Z438 Insertion of Swan-Ganz catheter (not included in respiratory or
          critical care benefits) ...........................................................       162.50    6
          Note:
          1.Swan-Ganz catheter insertion is included in the anaesthesia basic units of any surgical
            services where anaesthesia basic units are listed
          2.Z438 includes dye dilution densitometry and/or thermal dilution studies, when rendered
            (except in the setting of a cardiac catheterization laboratory).
          [Commentary:
          See G285 for dye dilution densitometry and G286 for thermal dilution studies performed using a
          Swan-Ganz catheter in a cardiac catheterization laboratory.]
# Z456 Insertion of implantable central venous catheter .....................                       296.50    6
# Z457 Surgical removal or repair of tunneled central venous catheter                                60.00    6
# Z446 Insertion of subcutaneous venous access reservoir ...............                            168.00    6
# Z447 - revision same site................................................................         130.70    6
# E684           - when performed in infant or child, to Z456 or Z446 ....add                       233.65

PDF page 660 / Q2

CARDIOVASCULAR SURGICAL PROCEDURES
HEART AND PERICARDIUM
                                                                                                      Asst         Surg         Anae
         Note:
         Preliminary diagnostic catheterization - extra to operative fees (see Diagnostic and
         Therapeutic Procedures). The basic anaesthetic fee of 28 units or more for major
         cardiovascular surgery includes such procedures as insertion of C.V.P. line (G269), arterial line
         (G268), blood sampling, blood analysis and interpretations.
# R700 With hypothermia and without bypass - basic fee for
         cardiovascular procedures .................................................                                  -           25
         Note:
         R700 replaces procedural basic code when hypothermia is used where basic is less
         than 25 units.
# Z759 Removal of failed vascular graft without arterial reconstruction
         - when sole procedure........................................................                             189.55          6
# E655   - re-operation for failed vascular grafts - for repair or
           replacement of existing prosthesis (more than one month
           after original operation) .............................................. add                            348.70
    Pump bypass
# E650  - includes cannulating and decannulating heart or major
          vein, major artery, supervision of pump and pump run
           ................................................................................... add                 400.00         28
# E682  - graft of major vessel other than ascending aorta for the
          purpose of cardiopulmonary bypass or ventricular assist
          device, to E650, R701, R702, R703, R704 and Z743
           ................................................................................... add                 423.85
         Note:
         For the anaesthesiologist, when a pump (with or without an oxygenator and with or without
         Hypothermia) is used in conjunction with an anaesthetic for cardiovascular procedures, submit
         claim using E650C with 28 basic units plus time units, instead of the basic units for the
         cardiovascular procedure.

Master, record 1982. Record Layout PDF, page 1.

G26820250401999999990000031250000000000000000000000000000000000000000000000

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.