G297

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 425 / J11

ANGIOGRAPHY
# G297 Angiograms (only two angiograms may be billed - one per right
         heart catheterization and one per left heart catheterization)
         irrespective of the number of chambers injected................                                                                                                                                                                                                                                                                                                                                                                          117.55
    Bypass graft angiogram
# G509 - maximum one per bypass graft ..........................................                                                                                                                                                                                                                                                                                                                                                                   80.40
     Note:
     Includes internal mammary artery implant.

PDF page 425 / J11

Transluminal coronary angioplasty
# Z434 - one or more sites on a single major vessel ........................                                                                                                                                                                                                                                                                                                                                                                      467.05    6
  G262     - each additional major vessel...................................... add                                                                                                                                                                                                                                                                                                                                                               210.40
      Note:
      If anatomy unknown at time of procedure, claim G297 at 50%.
# G298 Coronary angioplasty stent, per stent .....................................                                                                                                                                                                                                                                                                                                                                                                 78.95
     Note:
     J058 claimed same patient same day as G298 is payable at nil.
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Master, record 2010. Record Layout PDF, page 1.

G29720250401999999990000117550000000587800000000000000000000000000000000000

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.