G420

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

PDF page 782 / Y16

AURAL SURGICAL PROCEDURES
MIDDLE EAR
                                                                                                           Asst         Surg          Anae
       DEBRIDEMENT
        Under microscopy, debridement of mastoid cavities, and/or ears with significant external or
        middle ear pathology but not for removal of cerumen.
  Z907        - unilateral.............................................................................                   27.40
# Z908        - under general anaesthetic, with or without repair of small
                perforation - when sole ear procedure(s) performed -
                unilateral ............................................................................                   50.90          6
         Note:
         1.Debridement not performed under microscopy (e.g. if performed using loupes or magnifying
           headlights) or in the absence of significant external or middle ear pathology, or for removal of
           cerumen does not constitute Z907 or Z908.
         2.G420 is not eligible for payment in conjunction with Z906, Z907, Z908 or Z913.
         3.For contralateral procedures, Z907 and Z908 are payable at 85% of the listed fee.
    INCISION
# Z912 Myringotomy, to include aspiration when indicated - unilateral                                                     42.15          6
# Z914 - with insertion of ventilation tube using operating microscope
          - unilateral...........................................................................                         78.60          6
# Z916 Intratympanic injection, with or without myringotomy - unilateral
           ........................................................................................... 75.90 6
      [Commentary:
      Z912 is not eligible for payment when rendered in conjunction with the service described by
      Z916.]
         Note:
         Z912 or Z914 performed on an otherwise healthy child is only eligible for payment for the
         treatment of symptomatic chronic otitis media with effusion that has persisted beyond 3 months
         or recurrent episodes of acute otitis media with effusion.

Master, record 2131. Record Layout PDF, page 1.

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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.