R241

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 548 / SP6

SURGICAL PREAMBLE
PREAMBLE
 24. Morbidly obese patients
     E676 is eligible for payment once per patient per physician in addition to the amount eligible for
     payment for the major surgical procedure(s) where a morbidly obese patient undergoes major
     surgery to the neck, thorax, peritoneal cavity, retroperitoneum, pelvis, or hip and:
    a. the patient has a Body Mass Index (BMI) greater than 40
    b. the surgery is rendered under general anaesthesia using either an open technique for the
       neck, thorax, or hip, or an open or laparoscopic technique for the peritoneal cavity, pelvis,
       retroperitoneum; and
    c. the principal surgical technique is neither aspiration, core or fine needle biopsy, dilation,
       endoscopy, mediastinoscopy, thoracoscopy, cautery, ablation nor catheterization.
E676A Morbidly obese patient, surgeon, to procedural fee(s)...... add                      25%
E676B Morbidly obese patient, surgical assistant, to major procedure
        add                                                                               6 units
     Note:
     E676A/B is only payable with the following procedures: D043, D046, D047, D052, E090, E499,
     E500, E505, E546, E589, E593, E626, E627, E655, E664, E673, E686, E697, E704, E706,
     E707, E708, E709, E711, E712, E713, E714, E718, E721, E722, E725, E728, E729, E731,
     E733, E734, E735, E736, E737, E738, E739, E743, E745, E748, E752, E754, E762, E764,
     E765, E766, E767, E768, E769, E771, E794, E796, E852, E853, E854, E855, E857, E860,
     E880, E882, E883, E884, E885, F100, F101, F135, M081, M082, M084, M090, M099, M100,
     M142, M143, M144, P018, P041, P042, P050, P055, P056, P057, P058, P059, P060, R108,
     R109, R216, R241, R269, R330, R423, R439, R440, R443, R470, R481, R488, R491, R553,
     R569, R590, R627, R628, R639, R686, R786, R800, R802, R803, R805, R806, R807, R811,
     R814, R815, R817, R823, R825, R826, R834, R839, R852, R855, R856, R858, R860, R861,
     R910, R885, R905, R913, R914, R915, R932, R933, R934, R935, R936, R937, S089, S090,
     S114, S115, S116, S117, S118, S120, S121, S122, S123, S124, S125, S128, S129, S131,
     S132, S133, S134, S137, S138, S139, S140, S149, S150, S154, S157, S158, S159, S160,
     S162, S164, S165, S166, S167, S168, S169, S170, S171, S172, S173, S175, S176, S177,
     S180, S182, S183, S184, S185, S187, S188, S189, S191, S192, S193, S194, S195, S196,
     S197, S199, S204, S207, S213, S214, S215, S217, S218, S222, S227, S265, S266, S267,
     S269, S270, S271, S274, S275, S276, S278, S280, S281, S282, S285, S287, S291, S292,
     S294, S295, S297, S298, S299, S300, S301, S302, S303, S304, S305, S306, S307, S308,
     S309, S310, S311, S312, S313, S314, S315, S318, S319, S321, S323, S325, S329, S332,
     S340, S342, S343, S344, S345, S405, S411, S416, S420, S422, S424, S427, S431, S432,
     S433, S434, S435, S436, S438, S440, S441, S445, S446, S447, S448, S449, S450, S451,
     S452, S453, S454, S455, S457, S460, S461, S462, S465, S466, S467, S468, S471, S482,
     S483, S488, S490, S491, S512, S513, S546, S549, S561, S590, S650, S651, S652, S710,
     S714, S727, S728, S729, S731, S733, S735, S736, S738, S739, S740, S741, S743, S745,
     S747, S748, S750, S751, S757, S758, S759, S760, S761, S763, S764, S766, S775, S776,
     S778, S780, S781, S782, S784, S788, S789, S790, S792, S793, S795, S798, S799, S800,
     S813, Z427, Z526, Z552, Z553, Z564, Z569, Z577, Z594, Z737, Z738

PDF page 581 / N1

PREAMBLE
  A. The removal of a wire or pin or other device when used for traction or external fixation (except for
     rigid external fixators) in the treatment of a fracture or other orthopaedic procedure is to be included
     in the procedural fee (unless otherwise stated in the Schedule) unless a general anaesthetic is
     required, in which case a fee may be claimed. Removal of devices used for internal fixation more
     than 30 days after insertion may be claimed for in addition to the procedural benefit.
  B. The benefit for total joint replacement also includes denervation of the joint, all tenotomies and
     division and repair of muscle.
  C. The benefit for obtaining a bone graft is not to be claimed in cases of pseudoarthrosis repair,
     arthrodesis or for listings in which bone grafting is included.
  D. For the supervision of limb fitting and 6 months post-operative care following amputation, claim visit
     fees. Amputation with immediate fitting to include supervision of final limb fitting, add 40% (E586).
                                           Note:
                                           Reconstruction or Arthroplasty Procedures: If other procedures are claimed, same joint, same
                                           time, e.g. debridement, synovectomy, tendon release etc., the Medical Consultant will assess
                                           the surgeon's claim.
  # E554                                                               - synovectomy requiring a minimum of 30 minutes to resect,
                                                                         to R236, R240, R241, R244, R281, R288, R437, R438,
                                                                         R439, R440, R441, R442, R443, R453, R454, R456,
                                                                         R479, R481, R482, R483, R485, R486, R487, R488,
                                                                         R491, R493, R496, R497, R498, R499, R500, R509, R510
                                                                         ................................................................................... add   175.00
                                           Payment rules:
                                           Synovectomy codes other than E554 are not eligible for payment when rendered in addition to
                                           the codes listed above.

PDF page 616 / N36

MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES
PELVIS AND HIP
                                                                                                         Asst         Surg         Anae
    AMPUTATION
# R631 Hemipelvectomy - hindquarter................................................                        10         796.20         15
# R630 Hip disarticulation ...................................................................             10         753.50         10
    ARTHRODESIS
# R469 Sacro-iliac joint .......................................................................            6         395.25          7
# R514 Symphysis pubis.....................................................................                 6         387.00          7
# R470 Hip ..........................................................................................       6         703.45          8
    ARTHROPLASTY
# R439 Unipolar ..................................................................................          6         641.15         10
# R440 Total hip replacement - acetabulum and femur.......................                                  8         708.70         10
# R553 Total hip replacement with take down of fusion ......................                                8         972.90         15
    Revision total arthroplasty hip - one or both components
# R241 - acetabular or femoral .........................................................                    9        1304.80         15
# E589    - bone graft to acetabulum ........................................... add                                  101.25
# E593    - acetabular reconstruction (extensive, including bone
            grafts)......................................................................... add                      194.00
# R481 Reattachment of greater trochanter (late)...............................                             6         290.55          8
    Removal only
# R443 - non-cemented ....................................................................                  6         447.30          8
# R488 - cemented............................................................................               6         557.75          8
# R491 Replacement acetabular liner and/or femoral head................                                     8         532.30         10
    ARTHROSCOPY
# R686 Hip arthroscopy set up, includes when rendered debridement,
         synovectomy, removal of loose body(ies) and/or screw,
         drilling of defect, microfracture, abrasion arthroplasty, and/
         or synovial biopsy...............................................................                  6         669.80         10
# E487 Resection of labrum, to R686 ........................................... add                                   240.00
# E488 Repair of labrum, to R686................................................. add                                 350.00
# E482 Soft tissue capsular release without bone procedure, to R686
          ..................................................................................... add                   251.55
# E490 Osteochondroplasty (extensive bone and arthrofibrotic tissue
         removal requiring a minimum of 2 hours to resect), to R686
          ..................................................................................... add                   500.00
         Payment rules:
         1.E487 is not eligible for payment in addition to E488.
         2.Only one of E482 or E490 is eligible for payment same patient same day.
         3.Osteochondroplasty requiring less than 2 hours is included in R686.

Master, record 4475. Record Layout PDF, page 1.

R24120260401999999990001304800000001161900000000000000000239400000002394000

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.