M055

Caldwell-Luc (includes intranasal antrostomy) - unilateral

Fee

ComponentValue
Provider fee$247.35
Assistant, listing; PDF p. 6456 basic units
Anaesthesia, listing; PDF p. 64510 basic units
Schedule and sources
Fee edition
October 1, 2026
Record effective
2026-04-01
Schedule edition
July 22, 2026; effective July 1, 2026
Official files

PDF page 645 / P5

- Caldwell-Luc (includes intranasal antrostomy) - unilateral........................................................................... 6 247.35 10
Fee master record

Master, record 3661. Record Layout PDF, page 1.

M05520260401999999990000247350000000774600000000000000000159600000001596000

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.

FieldRaw / scale 10,000
provider00002473500 / 247.35
assistant00000774600 / 77.46
specialist00000000000 / 0
anaesthetist00001596000 / 159.6
non anaesthetist00001596000 / 159.6
Explanation

AI-generated. Unreviewed.

Caldwell-Luc procedure on one side, which includes intranasal antrostomy. Listed under the Maxillary heading in Accessory Nasal Sinuses, external or endonasal approach, in Respiratory Surgical Procedures.

Sources and updates
Fee master effective October 1, 2026Schedule effective July 1, 2026Source versions and changes
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