R321

PDF page 592 / N12

Bone - Pseudoarthrosis/non-union/avascular necrosis
# R321 Phalanx, metacarpal ...............................................................       6 392.90 7
# R322 Scaphoid................................................................................. 6 768.15 6
# R345 Carpal bone, other than scaphoid...........................................               6 260.75 6
# E497    - pedicled vascularized bone graft, to R322 or R345 ... add                              526.40
      Note:
      1.R322 and R345 must include fixation and a non-vascularized bone graft.
      2.E497 is payable in addition to R322 and R345 if a pedicled vascularized bone graft is used in
        addition to, or in place of a non-vascularized bone graft.
      3.F019 and Z279 rendered in conjunction with R322 and R345 are not eligible for payment.
    Bone - Deformity
      Osteotomy - phalanx
# R257 - terminal...............................................................................                  162.65          6
# R258 - middle proximal or metacarpal ...........................................                      6         289.80          7
# E591    - each additional........................................................... add                        158.65

PDF page 635 / N55

Note:
         1.Services listed under "Skin Flaps and Grafts" are not eligible for payment with R549 or R576.
         2.R576 and E831 include the plantar and digital components of the Dupuytrens procedure,
           when rendered.
    Muscle
# R522 - simple .................................................................................      6     193.00    6
# R523 - complex ..............................................................................        6     484.35    7
    RECONSTRUCTION
    Pseudoarthrosis
# R363 Malleoli....................................................................................    6     404.50    7
# R321 Tarsals/metatarsals/phalanx ...................................................                 6     392.90    7
    Deformity
      Osteotomy
# R259 - os calcis..............................................................................       6     433.80    7
# R276 - metatarsals and phalanx ....................................................                  6     144.80    7
# E596    - each additional........................................................... add                    41.70
# R277 - midtarsal/tarsal ...................................................................          6     365.05    7
     Shortening metatarsal
# R337 - one .....................................................................................     6     225.50    6
# R338 - two or more ........................................................................          6     356.25    7
# R977 Circular external fixation without osteotomy*..........................                         6     583.75    6
# R978 Circular external fixation with osteotomy*...............................                       6     729.45    6
# R979 Circular external fixation with multiple osteotomies*...............                            6     911.30    6
     Note:
     * This requires the application of tibial apparatus.

Master, record 4553. Record Layout PDF, page 1.

R32120260401999999990000392900000000774600000000000000000111720000001117200

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.