G298

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 386 / E2

[Commentary:
        1.For Extracranial approach to include balloon catheter techniques see N107 in Neurological
          Surgical Procedures.
        2.For Carotid-cavernous fistula; extracranial approach to include balloon catheter techniques
          see N118 in Neurological Surgical Procedures.]
# J058 Vascular stenting ....................................................................                   101.55          6
      Note:
      J058 claimed same patient same day as G298 is payable at nil.
# J066 Renal angioplasty ...................................................................                    773.25          6
    Carotid angiogram
# J031 - direct puncture....................................................................                    137.75          6
# J025 Transluminal angioplasty including angiography (if anatomy is
          known), with or without pressure measurements - one or
          more site(s) or vessel(s).....................................................                        610.10          6
         Note:
         1.If anatomy unknown at time of procedure, claim J021 and/or J022 at 50%. For simultaneous
           bilateral punctures and angioplasties, the amount payable for the second angioplasty is
           reduced by 50%.
         2.J021 & J022 may not be claimed with J025 if anatomy is known.
# J067 Spinal angiography for AV malformation, per vessel, maximum
         of 12 vessels per side.........................................................                          67.45         6
# J048 Percutaneous trans-hepatic catheter portal venography ........                                           476.65          6

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 2011. Record Layout PDF, page 1.

G29820250401999999990000078950000000394800000000000000000000000000000000000

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.