G509

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.

Master, record 2220. Record Layout PDF, page 1.

G50920250401999999990000080400000000402000000000000000000000000000000000000

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.