P046

PDF page 538 / K8

OBSTETRICS
LABOUR - DELIVERY
                                                                                                       Asst        Surg         Anae
      High risk obstetrical premium
       Payable in addition to labour and delivery procedures when at least one of the following
       conditions are present: fetal prematurity (<32 weeks gestational age), severe pregnancy
       induced hypertension, intrauterine growth retardation (IUGR) less than 10th percentile, or
       significant placental insufficiency as demonstrated by absent umbilical vessel flow or reverse
       systolic/diastolic (S/D) ratio.
# E414 High risk obstetrical premium ............................................add                                62.05
# P045 Repair of third degree tear or episiotomy extension, must
         include repair of perianal sphincter and perineum ..............                                           82.15         6
# P046 Repair of fourth degree tear or episiotomy extension, must
         include repair of rectal mucosa, perianal sphincter and
         perineum .............................................................................                   200.00          6
         Note:
         1.Repair of a tear or episiotomy extension that does not extend into the perianal sphincter (third
           degree) is included in the labour and delivery fee (P006 and P020) and does not constitute
           P045 or P046.
         2.Repair of the superficial transverse perineal muscle constitutes a repair of a second degree
           tear or episiotomy extension and does not constitute P045 or P046.
         Claims submission instructions:
         Claims for P046 submitted by a provider with a specialty other than Obstetrics and Gynecology
         (20) must be submitted for manual review.

Master, record 3967. Record Layout PDF, page 1.

P04620260401999999990000000000000000000000000020000000000095760000000957600

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.