J068

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 388 / E4

CLINICAL PROCEDURES ASSOCIATED WITH DIAGNOSTIC
              RADIOLOGICAL EXAMINATIONS
MISCELLANEOUS PROCEDURES
                                                                                                                   Spec          Anae
# J001 Arthrogram, tenogram or bursogram ......................................       52.10        7
      Note:
      Biliary duct calculus manipulation etc. (see Z562 listed in Digestive System - Biliary Tract.)
    Bronchial brushing
# J024 - unilateral.............................................................................                    89.90          6
# J044 - bilateral...............................................................................                  135.00          6
    Bronchogram
# J002 - unilateral.............................................................................                     27.00         6
# J043 - bilateral...............................................................................                    40.65         6
    Bronchogram with intra-tracheal catheter
# J003 - unilateral.............................................................................                     68.00         6
# J042 - bilateral...............................................................................                    82.20         6
    Carotid or vertebral artery occlusion by detachable balloon
# J050 - percutaneous......................................................................                        297.30
# J053 Cavernosography ...................................................................                           45.35
# J005 Dacrocystogram......................................................................                          45.40         6
    Discogram
# J006 - one disc ..............................................................................                   105.30          7
# J030   - each additional disc ................................................... add                             54.05
    Embolization of spinal arteriovenous malformation
# J049 - percutaneous......................................................................                        670.10          6
# J036 Fistula or sinus injection .........................................................                          29.40
# J068 Hydrostatic/pneumatic reduction of intussusception...............                                             48.30         7
# J008 Hysterosalpingogram..............................................................                             56.70         6
# J004 Intramammary needling for localization under mammographic
          control.................................................................................                   76.75
# J009 Laryngogram...........................................................................                        33.50

Master, record 2546. Record Layout PDF, page 1.

J06820260401999999990000048300000000000000000000000000000111720000001117200

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.