R268

Local anaesthetic

Fee

ComponentValue
Provider fee$54.85
Assistant, listing; PDF p. 5836 basic units
Anaesthesia, listing; PDF p. 5836 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 583 / N3

- local anaesthetic................................................................. 6 54.85 6
Passages mentioning R268

PDF page 583 / N3

FIXATION
# E547    - methyl methacrylate (not arthroplasty)....................... add                   59.40
# E555    - rigid external fixation (excluding casts) for closed
            reduction, to closed reduction fee ...................... add 50%
# E544    - cast bracing with closed reduction, to closed reduction fee
            ........................................................................... add 40%
# E569    - percutaneous pinning, to closed reduction fee .. add 50%
# E826    - percutaneous pinning, to F005, F006, F009, or F016
            ........................................................................... add 75%
      Payment rules:
      1.E544 is not eligible for payment when a prefabricated cast, brace or splint is used.
      2.E555 is not eligible for payment with F095, F104, F134 or any fee code that includes traction.
      3.E569 is not eligible for payment for percutaneous fixation of sacral fractures or dislocations.
      4.E569 is not eligible for payment with E826.
# E590    - rigid external fixation - pseudoarthrosis ..................... add        76.10
    Removal of internal fixation device more than 30 days after insertion
# R267 - general anaesthetic ............................................................   6           201.00    6
# R268 - local anaesthetic................................................................. 6            54.85    6
# R598 Removal of extensive external fixation device under general
         anaesthetic .........................................................................           48.25    6
    Adjustment of circumferential external fixation
# Z280 - without general anaesthetic................................................                     72.35
# Z281 - with general anaesthetic.....................................................                  145.70    6
# Z210       - Insertion traction pin - excludes fractures and dislocations                              33.35
     WOUND CARE
   E550  - insertion of closed irrigation system during a surgical
           procedure for post-operative management................ add                                   63.15
Fee master record

Master, record 4502. Record Layout PDF, page 1.

R26820260401999999990000054850000000774600000000000000000095760000000957600

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
provider00000548500 / 54.85
assistant00000774600 / 77.46
specialist00000000000 / 0
anaesthetist00000957600 / 95.76
non anaesthetist00000957600 / 95.76
Explanation

AI-generated. Unreviewed.

This listing is for local anaesthetic, under the bone, fascial and dermis grafts heading within the general fees part of the musculoskeletal surgical procedures section, for removal of internal fixation device more than 30 days after insertion.

Watch out for

Listed as local anaesthetic

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