M134

PDF page 104 / GP90

SECOND ASSISTANT
Payment rules:
When more than one assistant was required for a surgical procedure, unless the service is listed
below, the second assistant’s service is only eligible for payment following authorization by a medical
consultant and requires submission of a letter from the surgeon outlining the reason the second
assistant was required. The amount payable for the second assistant is calculated in the same
manner as the amount payable for the first assistant.
Services where a second assistant's services are payable and authorization is not required:
D043, D046, D047, D052, D060, E645, F135, M112, M117, M134, M142, N539, N540, P042, P051,
P052, P056, P059, R008, R009, R013, R014, R015, R016, R055, R056, R064, R065, R067, R069,
R134, R135, R136, R140, R182, R240, R241, R244, R326, R327, R334, R393, R438, R440, R441,
R483, R487, R545, R553, R568, R593, R594, R617, R645, R701, R702, R704, R712, R713, R714,
R715, R718, R726, R727, R728, R729, R732, R733, R734, R735, R737, R739, R742, R743, R746,
R747, R749, R764, R770, R771, R772, R773, R774, R786, R799, R800, R801, R802, R803, R804,
R811, R815, R817, R818, R830, R832, R858, R863, R870, R872, R874, R876, R927, R929, R920,
R930, S005, S007, S079, S090, S091, S092, S096, S098, S099, S120, S125, S189, S210, S211,
S213, S214, S267, S270, S271, S274, S275, S294, S295, S298, S300, S321, S416, S429, S440,
S441, S453, S454, S462, S484, S750, S757, S758, S759, S816
       [Commentary:
       E003B is not eligible for payment for second assistant services.]

PDF page 654 / P14

INCISION
# Z340 Biopsy of lung, needle ............................................................                      243.30          7
# Z336 Biopsy of pleura, needle - including diagnostic aspiration ......                                         59.15          6
# Z341 Tube thoracostomy for closed drainage (chest tube) .............            76.80                                        6
# Z352 Intrapleural administration of thrombolytic or fibrinolytic agent
          via thoracostomy tube (chest tube) ....................................  50.00
# Z363 Removal of thoracostomy tube (chest tube) ...........................       20.00
      Payment rules:
      Z363 is not eligible for payment for the same patient on the same day as Z341.
# Z349 Intrapleural administration of chemotherapy or sclerosing
          agent - by any method........................................................                           23.25
# M133 Thoracotomy for removal of foreign body ...............................                        9         390.65          13
# M137 Thoracotomy with or without biopsy .......................................                     9         390.65          13
# M134 Thoracotomy for post-operative haemorrhage or empyema ..                                       9         390.65          13
# M132 Repair of ruptured diaphragm or plication of diaphragm by
         thoracic approach...............................................................             9         900.00          13
# M130 Closure of broncho-pleural fistula (transthoracic or
         trans-sternal) ......................................................................        9         584.75          13
# E609   - with intercostal muscle bundle, pericardium, Azygos vein,
           or pericardial fat pad, to M130 ................................... add                              121.70
# E610   - with myovascular flap (pectoralis major, latissimus dorsi,
           rectus abdominus) ..................................................... add                          263.80
# M135 Major decortication of lung for empyema or tumour ...............                             11         848.80          15
# Z339 Intercostal drainage with insufflation of sclerosing agent under
          general anaesthesia ...........................................................             6         182.90          6

PDF page 663 / Q5

CARDIOVASCULAR SURGICAL PROCEDURES
 HEART AND PERICARDIUM
                                                                                                    Asst   Surg      Anae
    Thoracotomy
# M137 - with or without biopsy..........................................................            9      390.65    13
# M134 - for post-operative haemorrhage ..........................................                   9      390.65    13
# Z401 Aspiration of pericardium.........................................................                   131.70
# Z414 Injection of pericardial sclerosing agents.................................                           23.10
# R750 Open biopsy of pericardium and drainage (transthoracic or
          epigastric)............................................................................   13      317.85    13
    Pericardiectomy
# R748 - one side open......................................................................        13      635.45    20
# R749 - both sides open or sternal split ...........................................               13     1097.90    20
    Pericardiotomy for Drainage
# R707 Surgical drainage of pericardial effusion for cardiac tamponade,
          by open or video-assisted thoracic surgery (VATS) approach                                13      600.00    13
         Note:
         1.R707 is not eligible for payment in the setting of pericardial effusion with no evidence of
           tamponade and clinical instability
         2.R707 is not eligible for payment in addition to pericardiocentesis or pericardiectomy
    Cardiotomy
# R712 - with exploration ...................................................................       18      525.75    20
# R713 - with removal of foreign body ...............................................               18      635.45    20
# R714 - with removal of tumour ........................................................            18      576.40    20
# E660   - epicardial E.P.S. mapping ...........................................add                         185.15
# E661   - endocardial E.P.S. mapping........................................add                            185.15
# E658   - HIS Bundle ablation ....................................................add                      278.10
# R711 Division of accessory conduction pathway (to include
          cardiotomy, mapping with or without HIS bundle) ...............                            nil    741.55    20
# R709 Left atrial ablative procedure for surgical treatment of atrial
          arrhythmia (either Cox-Maze procedure or performed using
          an energy source) ...............................................................         18      778.65    20
         Note:
         R709 includes all left atrial ablation sites, internal exclusion or external excision of the left atrial
         appendage, and the ablation procedure involving the pulmonary veins.
# R706 Right and left atrial ablative procedure for treatment of atrial
         arrhythmia - surgical procedure or performed with an energy
         source .................................................................................   18     1245.85    20
         Note:
         R706 includes all the required elements of R709 and also includes the ablation procedure
         involving any endocardial and epicardial right atrial ablation lines.
         [Commentary:
         Examples of energy sources used for ablation may include cryoablation, microwave, or
         radiofrequency (unipolar or bipolar) ablation.]

Master, record 3697. Record Layout PDF, page 1.

M13420260401999999990000390650000001161900000000000000000207480000002074800

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.