N112

PDF page 645 / P5

External frontal-ethmoidal sinusectomy and/or reconstruction
# M059 - unilateral.............................................................................     6     460.20    10
    External or transantral ethmoidectomy
# M023 - unilateral (to include Caldwell-Luc with transantral
          approach) ...........................................................................      6     360.45    10
    Sphenoid
# M061 Trans-septal sphenoidectomy for tumour or radical
          exenteration of disease ......................................................                   355.65    10
         Note:
         M061 is not eligible for payment when rendered for performing the approach to the pituitary
         fossa as part of N111, N112, N114 or N116.
# M064 External transethmoidal sphenoid sinusectomy .....................                            7     612.65    10
    Closure of antral fistula
# M067 - under general anaesthetic (to include Caldwell-Luc if
         necessary)..........................................................................              345.15    7

PDF page 762 / X10

NEUROLOGICAL SURGICAL PROCEDURES
CRANIAL
                                                                                        Asst         Surg         Anae
      BRAIN
      SKULL BASE SURGERY – SURGICAL ACCESS - ENDONASAL APPROACH
    Surgeon not rendering resection of lesion(s)
# N112 Endonasal endoscopic or microscopic approach for surgical
         access to sella turcica - includes when rendered middle
         turbinate reductions, maxillary antrostomies,
         ethmoidotomies, ethmoidectomies, sphenoidotomies,
         septotomy, septoplasty and septal mucosal flap(s) harvest
         associated with septotomy or sphenoidal mucosal flap(s) .                        nil      1360.00          nil
    Surgeon rendering resection of lesion(s)
  E905   - endonasal endoscopic or microscopic approach for
           surgical access to sella turcica - includes when rendered
           middle turbinate reductions, maxillary antrostomies,
           ethmoidotomies, ethmoidectomies, sphenoidotomies,
           septotomy, septoplasty and septal mucosal flap(s) harvest
           associated with septotomy or sphenoidal mucosal flap(s),
           to N111, N114 or N116 ............................................... add                 750.00
  E886   - extended endonasal endoscopic approach, for access to
           each anatomical area, anterior skull base, clivus/posterior
           fossa, C1 - C2, occipital condyle(s) when rendered, to
           N111, N112, N114 or N116......................................... add                     800.00
        Payment rules:
        No services from the Respiratory Surgical Procedures or Integumentary System Surgical
        Procedures sections of this Schedule are eligible for payment with N111, N112, N114 or N116.

PDF page 763 / X11

NEUROLOGICAL SURGICAL PROCEDURES
 CRANIAL
                                                                             Asst      Surg       Anae
     Complex endonasal endoscopic resection of pituitary and non-pituitary lesion(s)
   E889     - complex endonasal endoscopic resection from cranial
              nerves, to N114 or N116 ............................................ add 520.00
   E890     - complex endonasal endoscopic resection from cavernous
              sinuses, to N114 or N116........................................... add  520.00
   E891     - complex endonasal endoscopic resection from frontal or
              temporal lobe or brainstem, to N114 or N116 ............ add             520.00
       Payment rules:
       1.E889, E890 and E891 are only eligible for payment to a physician who has completed a
         fellowship in skull base surgery or who has equivalent experience.
         2.E889, E890 and E891 are only eligible for payment when rendered with E887 or E888.
         3.Harvesting and/or use of any autologous materials (e.g. bone, fascia, dermis, muscle) is not
           eligible for payment with N111, N112, N114 or N116.
         [Commentary:
         Examples of non-pituitary lesions include meningioma, craniopharyngioma, chordoma.]

PDF page 763 / X11

SKULL BASE SURGERY – COMPLEX CLOSURE, REPAIR AND/OR RECONSTRUCTION OF
     DEFECT(S)
   E892    - harvesting of pedicled vascular flap(s) greater than 3cm in
             size for use in complex endoscopic closure, repair and/or
             reconstruction of surgical defect(s) to N111, N112, N114 or
             N116........................................................................... add 500.00
   E893    - complex closure, repair and/or reconstruction of surgical
             defect(s) - includes duroplasty when rendered to N111,
             N112, N114 or N116................................................... add           555.00
       Note:
       A complex closure, repair and/or reconstruction is defined as surgical closure, repair and/or
       reconstruction:
             a.for a lesion extending beyond the sella turcica; and
             b.is necessary for repair of CSF leak(s); and
             c.requires the use of pedicled vascular flap(s) greater than 3 cm in size.
         Payment rules:
         1.N111, N114 and N116 requires simple closure, reconstruction and/or repair of surgical
           defect(s) and includes the harvesting and use of any autogenous materials and/or pedicled
           flap(s) less than 3 cm in size. E892 and E893 are not eligible for payment for simple closure,
           reconstruction and/or repair.
         2.E919 is eligible for payment, if rendered, when performed as part of a simple closure,
           reconstruction and/or repair. E919 is not eligible for payment with E893.
         [Commentary:
         E892 and E893 may only be claimed when a complex closure, repair and/or reconstruction is
         required, as defined in the note above.]

Master, record 3722. Record Layout PDF, page 1.

N11220260401999999990001360000000000000000000000000000000000000000000000000

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.